Korean J Thorac Cardiovasc Surg.
2010 Oct;43(5):542-545.
VATS Resection for a Posterior Mediastinal Extramedullary Hematopoietic Mass: Resection of Extramedullary Hematopoiesis
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Jeju National University, Korea. jeewon71@naver.com
- 2Department of Pathology, College of Medicine, Jeju National University, Korea.
Abstract
- Extramedullary hematopoiesis is a common compensatory mechanism of chronic anemia, but an asymptomatic posterior mediastinal mass is rarely diagnosed as an extramedullary hematopoiesis after surgical resection. The differential from neurogenic tumors is important, but fine needle aspiration biopsy is not recommended because of the difficulty of approach and risk of bleeding. Although diagnosis and treatment can involve resection via thoracotomy, video-assisted thoracic surgery may also be a useful strategy. We performed video-assisted thoracic surgery on a 59-year-old man for posterior mediastinal extramedullary hematopoiesis, with no evidence of recurrence or related hematologic diseases.