Eur J Cardiothorac Surg 2004;26:209-210
© 2004 Elsevier Science NL
Images in cardio-thoracic surgery |
Recurrent chest wall haemangioma—‘A vascular lake’
S. Karthik*,
R. Milton,
J.A.C. Thorpe
Thoracic Unit, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK
Received 14 January 2004;
received in revised form 30 March 2004;
accepted 5 April 2004.
* Corresponding author. Tel.: +44-113-3925-897; fax: +44-113-3928-436
e-mail: suchkats{at}yahoo.com
Key Words: Haemangioma • Chest wall
A 21-year-old patient had a recurrent swelling over the right infra-axillary area, 12 years after excision of a haemangioma. Magnetic resonance imaging (MRI) confirmed a vascular mass (Fig. 1) . It was excised with the underlying rib and ligation of the feeding vessel (Fig. 2a and b)
. Histopathology confirmed a haemangioma (Fig. 2a (inset)).
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Fig. 1. MRI coronal plane showing the ‘vascular lake’ (arrowhead) on the right lateral chest wall intimately related to the ribs but without any intra-pleural extension.
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Fig. 2. Resected specimen with the underlying ribs. The mass was completely extra-pleural. (a) (inset) Histopathology of the specimen confirming a benign haemangioma (high power).
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Acknowledgments
We would like to thank Dr Lisa Barker, Specialist registrar in Histopathology, for the help in providing us with the histopathology image.
