Resection of a capillary haemangioma using robotic‐assisted thoracic surgery: A case report

Capillary haemangioma is a rare condition that is difficult to diagnose preoperatively because of its rarity and nonspecific imaging findings. In this report, we describe a case of capillary haemangioma diagnosed by robot‐assisted thoracic surgery (RATS). A 72‐year‐old man was incidentally found to have an anterior mediastinal tumour on chest computed tomography. The preoperative imaging findings were indicative of thymoma, and surgical treatment by RATS was selected. The intraoperative findings suggested that the tumour was a haemangioma originating from the pericardiophrenic vein. The pathological findings revealed a well‐defined tumour with capillaries in a vascular‐like structure and some thrombus formation. The pathological diagnosis was capillary haemangioma. The patient was discharged unaided at 7 days postoperatively and no recurrence was observed at 16 months postoperatively.

[1]  S. Billings,et al.  Intravascular Lobular Capillary Hemangioma (Intravascular Pyogenic Granuloma) , 2020, The American journal of surgical pathology.

[2]  Guang-Zhong Yang,et al.  Horizon Stabilized—Dynamic View Expansion for Robotic Assisted Surgery (HS-DVE) , 2012, International Journal of Computer Assisted Radiology and Surgery.

[3]  M. Uchiyama,et al.  A case of cavernous hemangioma arising from the anterior mediastinum and lung , 2010 .

[4]  S. Iwano,et al.  [Usefulness of dynamic computed tomography for the diagnosis of mediastinal hemangioma]. , 2007, Kyobu geka. The Japanese journal of thoracic surgery.

[5]  Y. Sakao,et al.  Cavernous hemangioma of the anterior mediastinum: case report and 50-year review of Japanese cases. , 2006, The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi.

[6]  M. Kusumoto,et al.  MRI of mediastinal cavernous hemangioma , 2005, Pediatric Radiology.

[7]  W. Mcalister,et al.  Posterior mediastinal capillary hemangioma with extradural extension resembling neuroblastoma , 1999, Pediatric Radiology.

[8]  T. Mineo,et al.  Benign Vascular Tumours of the Mediastinum; Presentation of Three Cases and Review of the Literature , 1995, The Thoracic and cardiovascular surgeon.

[9]  S. Suster,et al.  Mediastinal hemangiomas: a study of 18 cases with emphasis on the spectrum of morphological features. , 1995, Human pathology.

[10]  C. Moran,et al.  Mediastinal hemangioma: radiographic and CT features in 14 patients. , 1994, Radiology.

[11]  W. Klepetko,et al.  CT and MRI in benign mediastinal haemangioma. , 1991, Clinical radiology.

[12]  B. Gross,et al.  CT and MR Imaging of Mediastinal Hemangiomas , 1990, Journal of computer assisted tomography.

[13]  R. Greene,et al.  Benign Blood Vascular Tumors of the Mediastinum , 1978 .