TY - JOUR ID - 39733 TI - A Huge Lymphangioma Mimicking Pleural Effusion with Extension to Both Chest Cavities: A Case Report and Review of Literature JO - Iranian Journal of Medical Sciences JA - IJMS LA - en SN - 0253-0716 AU - Sokouti, Mohsen AU - Rostambeigi, Nassir AU - Halimi, Monireh AD - Department of Cardiothoracic Surgery, Tabriz University of Medical Sciences, Tabriz, Iran AD - Department of Radiology, University of Minnesota, USA AD - Department of Pathology, Tabriz University of Medical Sciences, Tabriz, Iran Y1 - 2015 PY - 2015 VL - 40 IS - 2 SP - 181 EP - 184 KW - Lymphangioma KW - Mediastinum KW - Surgery KW - Pleural Effusion DO - N2 - Mediastinal lymphangioma is primarily a benign lesion and the majority of the cases are found incidentally. These lesions account for approximately 1% of all mediastinal tumors. Here we present a giant mediastinal cystic mass in a 35-year-old female who was presented with severe respiratory distress. On the plain chest radiography and CT scan, a massive left pleural effusion with large parasternal and mediastinal lymphadenopathy was seen. Thoracentesis was performed and 400 cm³ of clear fluid was drained from the left hemithorax. However, a subsequent CT scan with contrast and the same technique 40 days later showed a large cystic mass in the mediastinum protruding to the right and left hemi thoraces. The giant cystic mass was resected via right and left anterior thoracotomies. Histopathological examination revealed a diagnosis of lymphangioma. The patient has been alive and without tumor recurrence and has been followed for 2 years.  UR - https://ijms.sums.ac.ir/article_39733.html L1 - https://ijms.sums.ac.ir/article_39733_6d1b0e9ee57c34817db04f466033ea33.pdf ER -