title: [Difficulties with diagnosis of intrathoracic neurogenic tumors (author's transl)].
abstract: 58 patients have been operated for neurogenic tumors of the mediastinum. Diagnostic problems are discussed. Some rare cases are presented: a neurofibroma of the n. vagus with mediastinal localization, a cavernous hemangioma, a leiomyoma and a fibrosarcoma; all of these imitating typical neurogenic tumors. The patient with the fibrosarcoma had several operations for recurrence of the histologically benign neurofibroma and died 4 years later of generalized fibrosarcoma. Because of this possible histological error all seemingly benign neurogenic tumors should be removed early.
mesh_terms: D000293:Adolescent; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005354:Fibrosarcoma / Q000175:diagnosis; D006391:Hemangioma / Q000175:diagnosis; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis; D008297:Male; D008479:Mediastinal Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D009380:Neoplasms, Nerve Tissue / Q000175:diagnosis* / Q000000981:diagnostic imaging; D009455:Neurofibroma / Q000175:diagnosis; D011859:Radiography
vernacular_title: Scwierigkeiten bei der diagnose von neurogenen mediastinal-tumoren