[A case of fibrosing mediastinitis manifesting recurrent nerve palsy].
A 68 year-old man was referred and admitted to our hospital because of hoarseness due to recurrent nerve palsy and an anterior mediastinal tumor detected on chest CT. Chest CT showed a low-density tumor surrounding the aorta and branching arteries. Chest MRI revealed a low-intensity tumor in both T1- and T2-weighted images. The tumor was adjacent to the heart and aorta in the upper anterior mediastinum. A biopsy was performed under minimally invasive video-assisted thoracic surgery (VATS) and a diagnosis of fibrosing mediastinitis was made histopathologically. Oral prednisolone treatment markedly reduced the tumor and improved not only abnormal laboratory data such as C-reactive protein, but also the hoarseness. We report herein that steroid monotherapy was successful in treating a case of fibrosing mediastinitis manifesting recurrent nerve palsy.
Minami
Seigo
S
Department of Respiratory Medicine, Osaka Police Hospital, Osaka.
Asai
Mitsuko
M
Iwahori
Kouta
K
Utsumi
Tomoki
T
Kido
Tetsuo
T
Komuta
Kiyoshi
K
D000368:Aged; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D005355:Fibrosis; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D011239:Prednisolone / Q000008:administration & dosage; D014826:Vocal Cord Paralysis / Q000209:etiology*
D000893:Anti-Inflammatory Agents; D011239:Prednisolone