TITLE:
One Case of Right Posterior Mediastinum Intraneural Hemangioma Misdiagnosed as Neurilemmoma
AUTHORS:
Xiaoxia Tan, Ruifen Zhang, Liangping Luo
KEYWORDS:
Intraneural Hemangioma, Mediastinal Tumors, Spinal Nerve
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.12 No.7,
July
9,
2024
ABSTRACT: Although rare, intraneural hemangiomas should be considered in the differential diagnosis of peripheral nerve lesions. We report on a 59-year-old female patient, who was admitted to the hospital due to the discovery of bilateral breast masses for 3 months, there was no paresthesia or dyskinesia. The patient accidentally found a mass in the right upper mediastinum while completing a plain chest X-ray, initially suspected as a benign neurilemmoma on CT. Surgical resection and pathological analysis confirmed an intraneural hemangioma. Unexpectedly, the patient developed new-onset right upper limb numbness and paresthesia 3 months post-operatively, probably related to surgical nerve injury. This case underscores the importance of maintaining a broad differential for mediastinal masses, and the potential for iatrogenic neurological complications when managing these rare, yet vascular lesions.