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Eur J Cardiothorac Surg 1999;15:533-535
© 1999 Elsevier Science NL

Case report

Mediastinal hibernoma

^a Department of Medicine, P.D. Hinduja National Hospital and Medical Research Center, Veer Savarkar Marg, Mahim, Bombay 400016, India
^b Department of Cardiothoracic Surgery, P.D. Hinduja National Hospital and Medical Research Center, Veer Savarkar Marg, Mahim, Bombay 400016, India
^c Department of Surgical Pathology, P.D. Hinduja National Hospital and Medical Research Center, Veer Savarkar Marg, Mahim, Bombay 400016, India

Received 5 August 1998; received in revised form 31 December 1998; accepted 27 January 1999.

Corresponding author. Tel.: +91-444-9199 ext. 8327; fax: +91-444-9151; e-mail: bhaduri@bom3.vsnl.net.in

A 46-year-old asymptomatic male was detected to have a posterior mediastinal mass on a routine check-up. He underwent thoracotomy to remove the mass, which was found to be a hibernoma. The mediastinum is an extremely rare site for an even rarer tumor like the hibernoma. An additional unique feature was the very large tumor size despite which the patient was asymptomatic. Imaging studies are not helpful in revealing its clinically indeterminate nature, hence a surgical specimen is necessary to establish the correct diagnosis. Total excision is advocated for cure, as there is no known malignant potential.

Key Words: Hibernoma • Mediastinal • Asymptomatic • Benign • Resection

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