Mediastinal epithelioid hemangioendothelioma resected by hemi-plastron window technique Noritaka Isowa, MD, Seiki Hasegawa, MD, Mari Mino, MD, Kojiro.

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Mediastinal epithelioid hemangioendothelioma resected by hemi-plastron window technique Noritaka Isowa, MD, Seiki Hasegawa, MD, Mari Mino, MD, Kojiro Morimoto, MD, Hiromi Wada, MD The Annals of Thoracic Surgery Volume 74, Issue 2, Pages 567-569 (August 2002) DOI: 10.1016/S0003-4975(02)03703-7

Fig 1 (A) Superior anterior mediastinal mass (arrow) is shown on the chest roentgenogram on admission. (B) Chest roentgenogram, taken 3 years before admission, reveals no abnormal shadow. The Annals of Thoracic Surgery 2002 74, 567-569DOI: (10.1016/S0003-4975(02)03703-7)

Fig 2 Magnetic resonance images. (A) Contrast-enhanced T1-weighted image shows a well-enhanced mass between the left common carotid artery (arrow) and the subclavian artery (arrowhead). (B) T2-weighted image with fat suppression shows a soft tissue mass of heterogeneous signal intensity. The Annals of Thoracic Surgery 2002 74, 567-569DOI: (10.1016/S0003-4975(02)03703-7)

Fig 3 The “hemi-plastron window” technique. (Top) The skin incision. (Bottom) The left hemi-plastron was removed and restored. The Annals of Thoracic Surgery 2002 74, 567-569DOI: (10.1016/S0003-4975(02)03703-7)

Fig 4 Hematoxylin and eosin stain shows epithelioid and spindle tumor cells with prominent intracytoplasmic vacuoles containing erythrocytes, in a hyaline or chondromyxoid stroma. The Annals of Thoracic Surgery 2002 74, 567-569DOI: (10.1016/S0003-4975(02)03703-7)