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IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

Huge Intrathoracal Cystic Mass Restricted by Dense Calcification

Hasan Türüt, MD, Nurhan Koksal, MD1, Canan Eren Dagli, MD1

Department of Thoracic Surgery, Rize University, Medical School, Rize
1 Department of Chest Diseases Kahramanmaras Sutcu Imam University Medical School Kahramanmaras, Turkey

Hasan Türüt, MD, Tel: +90 344 2212337, Fax: +90 344 2212371, Email: drhasanturut{at}yahoo.com, Kahramanmaras Sutcu Imam Universitesi, Tip Fakultesi Hastanesi Gogüs Cerrahisi Anabilim Dali, 46050, Kahramanmaras, Turkey.

A 56-year-old woman was referred with an incidental finding of an intrathoracic mass on a routine check-up. Plain chest radiography and computed tomography revealed a huge cystic mass in the left hemithorax, with dense pericystic calcification that caused restriction of the lesion (Figures 1Go and 2Go). Bronchogenic cyst, teratoma, pericardiyal cyst, pulmonary sarcoma, or hydatid disease of the lung were the preliminary diagnoses. An exploratory thoracotomy was considered for both diagnosis and treatment, but the patient refused any intervention.


Figure 1
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  		Figure 1. Plain chest radiograph revealing a well-defined mass surounded by a calcified layer.

 

Figure 2
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  		Figure 2. Thoracic computed tomography showing a cystic mass, 18 x 14 x 8 cm in size, close to the heart and extending to the diaphragm. The mass was completely restricted by a thick calcified capsula. Note the lower portion of the mass, displaying heterogenous calcification.

 

Asian Cardiovasc Thorac Ann 2009; 17:537-538
© 2009 by SAGE Publications
DOI: 10.1177/0218492309348629



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