Primary Mediastinal Hemangiopericytoma: A Case Report

Primary mediastinal hemangiopericytomas are very rare tumors. We present a patient with this disease and discuss the clinical symptoms, diagnosis, and the correlation of radiographic features. A 53-year-old woman complained of the cough and the dyspnea for months before consultation. The chest X-rays and computed tomography revealed a well-defined intensive enhanced mass in the left middle mediastinum with necrotic changes and calcification within it. The patient underwent left thoracotomy with tumor resection, and a final diagnosis of primary mediastinal hemangiopericytoma was made. To our knowledge, only 20 cases of primary mediastinal hemangiopericytoma have been reported in the English literature, but no patient was reported with calcification. We present the first case of a mediastinal hemangiopericytoma with central calcification.