Ghada Al-Mubarak, MD, Ayesha S. Bryant, MSPH, MD, Jack H

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Surgical and Anesthetic Management of a Mediastinal Fatty Tumor: Lipoblastoma Ghada Al-Mubarak, MD, Ayesha S. Bryant, MSPH, MD, Jack H. Crawford, MD, PhD, Christopher M. Dukes, MD, David R. Kelly, MD, Daniel W. Young, MD, David C. Cleveland, MBA, MD The Annals of Thoracic Surgery Volume 100, Issue 5, Pages e97-e98 (November 2015) DOI: 10.1016/j.athoracsur.2015.04.103 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Chest roentgenogram demonstrated mediastinal mass with air trapping of the left lung. (B) Sagittal computed tomographic view. The Annals of Thoracic Surgery 2015 100, e97-e98DOI: (10.1016/j.athoracsur.2015.04.103) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Microscopy shows small spindled mesenchymal cells with hyperchromatic nuclei, mature adipocytes, and scattered multivacuolated lipoblasts (several at the 12 o'clock position) set within a myxoid stroma. Thin-walled blood vessels have a plexiform or “chicken-wire” pattern (hematoxylin & eosin, ×132). The Annals of Thoracic Surgery 2015 100, e97-e98DOI: (10.1016/j.athoracsur.2015.04.103) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Diagnostic criteria for lipoblastoma. (β-hcg = beta-human chorionic gonadotropin; HU = Hounsfield units; LDH, lactate dehydrogenase.) The Annals of Thoracic Surgery 2015 100, e97-e98DOI: (10.1016/j.athoracsur.2015.04.103) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions