Objective: To explore the clinical characteristics, diagnosis, treatment and prognosis of cavernous hemangioma of mediastinum (CHM).
Methods: Retrospective analyses were performed for the clinical data of 10 CHM patients at our hospital along with a literature review.
Results: The clinical symptoms and signs were nonspecific. Although computed tomography (CT) showed mediastinal cystic mass, a definite diagnosis could not be reached. Complete surgical excision was performed with a pathological confirmation of CHM. Neither recurrence nor mortality occurred during the postoperative follow-up up to 12 years.
Conclusions: CHM is rare and frequently misdiagnosed. Hypodensity or calcification inside mass on CT is diagnostic. A definite diagnosis is dependent upon typical tumor appearances and pathological report of puncture biopsy. Excision is an effective cure with a fair prognosis.