Anterior Mediastinal Mass Secondary to Histoplasmosis

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Presentation transcript:

Anterior Mediastinal Mass Secondary to Histoplasmosis David D. Shersher, MD, Edward Hong, MD, John Breard, MD, William H. Warren, MD, Michael J. Liptay, MD The Annals of Thoracic Surgery Volume 93, Issue 1, Pages e9-e10 (January 2012) DOI: 10.1016/j.athoracsur.2011.07.093 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative computed tomography demonstrating a heterogeneously enhancing left anterior mediastinal mass (3.1 × 2.9 × 4.3 cm) at the level of the aortopulmonary window, causing mass effect on the main pulmonary artery. (A) Axial, (B) sagittal, and (C) coronal views are demonstrated. The Annals of Thoracic Surgery 2012 93, e9-e10DOI: (10.1016/j.athoracsur.2011.07.093) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Intraoperative thoracoscopic post biopsy view of the lesion's necrotic, purulent core with associated anthracotic lymph nodes. (B) A Grocott's methenamine silver (GMS) stained photomicrograph depiction of the biopsied mass, with dark lesions representing fungal elements. (Magnification, 200 ×.) The Annals of Thoracic Surgery 2012 93, e9-e10DOI: (10.1016/j.athoracsur.2011.07.093) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions