Diagnostic difficulties of antero-superior mediastinal masses with cardiac infiltration. Endovascular bioptic alternative approach

Nicola Maggialetti, MD, PhD; Paola Gigante, MD; Michele Ciaccia, MD; Paolo Mammucci, MD; Valentina Cianci, MD; Antonio Signorile, MD; Sara Sasso, MD; Cristian Dell'Atti, MD; Amato Antonio Stabile Ianora, MD

Radiology Case Reports (Mar 2023)

Diagnostic difficulties of antero-superior mediastinal masses with cardiac infiltration. Endovascular bioptic alternative approach

Nicola Maggialetti, MD, PhD,
Paola Gigante, MD,
Michele Ciaccia, MD,
Paolo Mammucci, MD,
Valentina Cianci, MD,
Antonio Signorile, MD,
Sara Sasso, MD,
Cristian Dell'Atti, MD,
Amato Antonio Stabile Ianora, MD

Affiliations

Nicola Maggialetti, MD, PhD: Department of Basic Medical Sciences, Neuroscience and Sense Organs (DSMBNOS), Section of Radiodiagnostic, University of Bari Medical School “Aldo Moro”, Piazza Giulio Cesare 11, 70124, Bari, Italy
Paola Gigante, MD: Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, University of Bari Medical School “Aldo Moro”, Piazza Giulio Cesare 11, 70124, Bari, Italy
Michele Ciaccia, MD: Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, University of Bari Medical School “Aldo Moro”, Piazza Giulio Cesare 11, 70124, Bari, Italy; Corresponding author.
Paolo Mammucci, MD: Interdisciplinary Department of Medicine, Section of Nuclear Medicine, University of Bari Medical School “Aldo Moro”, Piazza Giulio Cesare 11, 70124, Bari, Italy
Valentina Cianci, MD: Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, University of Bari Medical School “Aldo Moro”, Piazza Giulio Cesare 11, 70124, Bari, Italy
Antonio Signorile, MD: Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, University of Bari Medical School “Aldo Moro”, Piazza Giulio Cesare 11, 70124, Bari, Italy
Sara Sasso, MD: Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, University of Bari Medical School “Aldo Moro”, Piazza Giulio Cesare 11, 70124, Bari, Italy
Cristian Dell'Atti, MD: Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, University of Bari Medical School “Aldo Moro”, Piazza Giulio Cesare 11, 70124, Bari, Italy
Amato Antonio Stabile Ianora, MD: Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, University of Bari Medical School “Aldo Moro”, Piazza Giulio Cesare 11, 70124, Bari, Italy

Journal volume & issue: Vol. 18, no. 3
pp. 1127 – 1132

Abstract

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The diagnosis of mediastinal masses is challenging due to the variety of possiblepathologies , and its definitive diagnosis is mainly confirmed by histological evaluation. Sometimes some lesions may have a greater intravascular rather than mediastinal development and the collection of a biopsy sample becomes even more complex. In these cases endovascular catheter biopsy is helpful in the collection of the necessary biological material, having to adapt to the type of surface and consistency of the mass to be analyzed.Endovascular catheter biopsy was performed with a biliary forceps to sample a mediastinal mass with greater endovascular and cardiac development, with a hard and difficult to sample surface. The histological result was diagnosed with non-hodgkins lymphoma.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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