A Case of Giant Mediastinal Leiomyoma with Long-Term Survival

AKIRA UNO; MASANORI SAKURAI; KIKUO ONUMA; YOSHIO YAMANE; KENKICHI KURITA; IZUMI HAYASHI; MICHIAKI IKEDA; NOBORU HAGIWARA; KUNIHIKO TOMINAGA; HANDOU HAKOZAKI

doi:10.1620/tjem.156.1

AKIRA UNO, MASANORI SAKURAI, KIKUO ONUMA, YOSHIO YAMANE, KENKICHI KURITA, IZUMI HAYASHI, MICHIAKI IKEDA, NOBORU HAGIWARA, KUNIHIKO TOMINAGA, HANDOU HAKOZAKI

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AKIRA UNO
Department of Respiratory Disease, Iwaki Kyoritsu General Hospital
MASANORI SAKURAI
Department of Respiratory Disease, Iwaki Kyoritsu General Hospital
KIKUO ONUMA
Department of Respiratory Disease, Iwaki Kyoritsu General Hospital
YOSHIO YAMANE
Department of Respiratory Disease, Iwaki Kyoritsu General Hospital
KENKICHI KURITA
Department of Respiratory Disease, Iwaki Kyoritsu General Hospital
IZUMI HAYASHI
Department of Respiratory Disease, Iwaki Kyoritsu General Hospital
MICHIAKI IKEDA
Department of Respiratory Disease, Iwaki Kyoritsu General Hospital
NOBORU HAGIWARA
Department of Respiratory Disease, Iwaki Kyoritsu General Hospital
KUNIHIKO TOMINAGA
Pathology Division, Iwaki Kyoritsu General Hospital
HANDOU HAKOZAKI
Pathology Division, Iwaki Kyoritsu General Hospital

Keywords: mediastinal leiomyoma, emergency operation, long-term survival

JOURNAL FREE ACCESS

1988 Volume 156 Issue 1 Pages 1-6

DOI https://doi.org/10.1620/tjem.156.1

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Published: 1988 Received: April 14, 1988 Available on J-STAGE: August 31, 2006 Accepted: June 27, 1988 Advance online publication: - Revised: -
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Date of correction: August 31, 2006 Reason for correction: - Correction: ABSTRACT Details: Wrong : UNO, A., SAKURAI, M., ONUMA, K., YAMANE, Y., KURITA, K., HAYASHI, I., IKEDA, M., HAGIWARA, N., TOMINAGA, K. and HAKOZAKI, H. A Case of Giant Mediastinal Leiomyoma with Long-Term Survival. Tohoku J. exp. Med., 1988, 156 (1), 1-6-A 67-year-old female was emergently admitted to our hospital because of severe dyspnea with cyanosis. One month before admission, she consulted a doctor and chest x-ray disclosed a huge tumor shadow occupying most of the left hemithorax. At that time, she did not complain of any particular symptoms except slight cough. Twelve days after admission, the patient lost consciousness and an emergency operation was performed. The tumor showed severe adhesion to the aorta and the lower lobe of the left lung, but not to the esophagus. After the operation, mechanical ventilation was necessary for 13 days to recover pulmonary function. Histological diagnosis was made as leiomyoma, which is rarely seen in the mediastinal region. At present, the patient survived 10 years without any symptom of recurrence. In this paper, the authors report a case of mediastinal leiomyoma which received an emergency operation and attained long term survival. Twelve similar cases reported in the past were also reviewed.
Right : A 67-year-old female was emergently admitted to our hospital because of severe dyspnea with cyanosis. One month before admission, she consulted a doctor and chest x-ray disclosed a huge tumor shadow occupying most of the left hemithorax. At that time, she did not complain of any particular symptoms except slight cough. Twelve days after admission, the patient lost consciousness and an emergency operation was performed. The tumor showed severe adhesion to the aorta and the lower lobe of the left lung, but not to the esophagus. After the operation, mechanical ventilation was necessary for 13 days to recover pulmonary function. Histological diagnosis was made as leiomyoma, which is rarely seen in the mediastinal region. At present, the patient survived 10 years without any symptom of recurrence. In this paper, the authors report a case of mediastinal leiomyoma which received an emergency operation and attained long term survival. Twelve similar cases reported in the past were also reviewed.

Date of correction: August 31, 2006 Reason for correction: - Correction: CITATION Details: Wrong : 1) Davis, R.D., Oldham, H.N. & Sabiston, D.C. (1987) Primary cysts and neoplasms of the mediastinum: Recent changes in clinical presentation, methods of diagnosis, management, and results. Ann. thorac. Surg., 44, 229-237.
2) Morrison, I.M. (1958) Tumors and cysts of the mediastinum. Thorax, 13, 294-307.
3) Nishimoto, M., Yamada, H., Mastumoto, S. & Oshima, H. (1957) Huge leiomyoma (fibroleiomyoma) originated in the right posterior superior mediastinum. Report of a case. Nippon Geka Hokan, 26, 464-468. (in Japanese with English abstract)
4) Petrikova, J. (1982) Mediastinal tumors and congenital malformations-diagnosis and therapy. Acta Univ. Carol. Med. (Praha), 28, 387-471.
5) Rasaretnam, R. & Panabokke, R.G. (1975) Leiomyosarcoma of the mediastinum. Brit. J. Dis. Chest., 69, 63-69.
6) Suzuki, T., Ishihara, T., Yamazaki, S., Takanami, I., Fukai, S. & Hanaoka, K. (1982) Vascular-leiomyoma of the posterior mediastinum. A case report. Jap. J. thorac. Dis., 20, 1075-1078. (Japanese)

Right : 1) Davis, R. D., Oldham, H. N. & Sabiston, D. C. (1987) Primary cysts and neoplasms of the mediastinum: Recent changes in clinical presentation, methods of diagnosis, management, and results. Ann. thorac. Surg., 44, 229-237.
2) Morrison, I. M (1958) Tumors and cysts of the mediastinum. Thorax, 13, 294-307.
3) Nishimoto, M., Yamada, H., Mastumoto, S. & Oshima, H. (1957) Huge leiomyoma (fibroleiomyoma) originated in the right posterior superior mediastinum. Report of a case. Nippon Geka Hokan, 26, 464-468. (in Japanese with English abstract)
4) Petrikova, J. (1982) Mediastinal tumors and congenital malformations - diagnosis and therapy. Acta Univ. Carol. Med. (Praha), 28, 387-471.
5) Rasaretnam, R. & Panabokke, R. G. (1975) Leiomyosarcoma of the mediastinum. Brit. J. Dis. Chest., 69, 63-69.
6) Suzuki, T., Ishihara, T., Yamazaki, S., Takanami, I., Fukai, S. & Hanaoka, K. (1982) Vascular-leiomyoma of the posterior mediastinum. A case report. Jap. J. thorac. Dis., 20, 1075-1078. (Japanese)

Date of correction: August 31, 2006 Reason for correction: - Correction: PDF FILE Details: -

Abstract

A 67-year-old female was emergently admitted to our hospital because of severe dyspnea with cyanosis. One month before admission, she consulted a doctor and chest x-ray disclosed a huge tumor shadow occupying most of the left hemithorax. At that time, she did not complain of any particular symptoms except slight cough. Twelve days after admission, the patient lost consciousness and an emergency operation was performed. The tumor showed severe adhesion to the aorta and the lower lobe of the left lung, but not to the esophagus. After the operation, mechanical ventilation was necessary for 13 days to recover pulmonary function. Histological diagnosis was made as leiomyoma, which is rarely seen in the mediastinal region. At present, the patient survived 10 years without any symptom of recurrence. In this paper, the authors report a case of mediastinal leiomyoma which received an emergency operation and attained long term survival. Twelve similar cases reported in the past were also reviewed.

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