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Critical Care: Neoplastic Disorders |

The Milky Path to the Diagnosis of an Anterior Mediastinal Mass

Taaran Cariappa Ballachanda Subbaiah, MD; Manraj Khosla, MD; Lee Mcghan, MD; Tanmay Panchabhai, MD; Richard Sue, MD; Jasmine Huang, MD
Author and Funding Information

St. Joseph's Hospital and Medical Center, Phoenix, AZ


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):339A. doi:10.1016/j.chest.2016.08.352
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SESSION TITLE: Neoplastic Disorders

SESSION TYPE: Student/Resident Case Report Slide

PRESENTED ON: Monday, October 24, 2016 at 03:15 PM - 04:15 PM

INTRODUCTION: Lymphangiomas are described as large dilated cystic lymph sacs lined by endothelium. These are uncommon benign tumors, often seen in childhood with 90% presenting within the first two years of life. The majority appear in the cervical region although other sites like orbital, mediastinal, mesenteric, pancreatic and retroperitoneal locations have been described. Mediastinal lymphangiomas are very rare and account for 0.7 to 4.5% of all mediastinal tumors. Most present as incidental findings on imaging studies. Patients may present with non-specific symptoms like fever, cough, hemoptysis, dyspnea, dysphagia and chest pain. Acquired lymphangiomas from chronic lymphatic obstruction have been noted as a consequence of surgery, radiotherapy, chronic infection etc. Chyloptysis can be an unusual presentation in such patients.

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