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Primary soft tissue chondroma of the anterior mediastinum: A case report and comprehensive literature review

  • Authors:
    • Yaping Zhang
    • Xiaotao Geng
    • Min Zhang
    • Changshuai Li
    • Mingyuan Pang
  • View Affiliations / Copyright

    Affiliations: Department of Radiology, Weifang People's Hospital, Weifang, Shandong 261041, P.R. China, Department of Radiation Oncology, Weifang People's Hospital, Weifang, Shandong 261041, P.R. China
    Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 216
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    Published online on: September 9, 2025
       https://doi.org/10.3892/etm.2025.12966
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Abstract

Anterior mediastinal soft tissue chondroma is an exceedingly rare benign tumor that poses a diagnostic challenge due to its overlapping imaging features with more common mediastinal masses. Accurate diagnosis is crucial to ensure appropriate surgical management and avoid overtreatment of benign lesions. In the present case, a 36‑year‑old asymptomatic woman presented with a calcified anterior mediastinal mass incidentally detected on a routine chest computed tomography. Imaging showed a well‑circumscribed, lobulated mass with punctate calcifications, suggestive of a benign etiology. The mass was resected and histopathological evaluation confirmed a diagnosis of soft tissue chondroma. Complete surgical resection was performed via median sternotomy without complications. The patient had an uneventful recovery and remained disease‑free at the 6‑month follow‑up. This case emphasizes the need to consider anterior mediastinal soft tissue chondromas in the differential diagnosis of calcified mediastinal masses.
View Figures

Figure 1

Contrast-enhanced chest CT imaging and
histopathological examination. (A) Plain CT. (B) Arterial phase.
(C) sagittal image of the venous phase.(D and E) coronal images of
the venous phase. A well-circumscribed soft tissue mass is visible
in the anterior mediastinum. Axial CT revealed a well-circumscribed
calcified mass in the left anterior mediastinum. The mass was
positioned anterior to the pulmonary trunk. Unenhanced CT showed
near-isodense attenuation (15-22 HU). Minimal enhancement was
observed (13-27 HU arterial phase; 14-27 HU venous phase).
Additionally, there were no enlarged lymph nodes identified in the
mediastinum. (F) The tumor consisted of mature hyaline cartilage
cells and a rich chondroid matrix. The chondrocytes were arranged
in clusters and resided within cartilage lacunae. The tumor was
composed of mature hyaline cartilage with focal areas of
calcification; features of malignancy were not observed
(hematoxylin and eosin staining; scale bar, 200 µm). CT, computed
tomography.
View References

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Copy and paste a formatted citation
Spandidos Publications style
Zhang Y, Geng X, Zhang M, Li C and Pang M: Primary soft tissue chondroma of the anterior mediastinum: A case report and comprehensive literature review. Exp Ther Med 30: 216, 2025.
APA
Zhang, Y., Geng, X., Zhang, M., Li, C., & Pang, M. (2025). Primary soft tissue chondroma of the anterior mediastinum: A case report and comprehensive literature review. Experimental and Therapeutic Medicine, 30, 216. https://doi.org/10.3892/etm.2025.12966
MLA
Zhang, Y., Geng, X., Zhang, M., Li, C., Pang, M."Primary soft tissue chondroma of the anterior mediastinum: A case report and comprehensive literature review". Experimental and Therapeutic Medicine 30.5 (2025): 216.
Chicago
Zhang, Y., Geng, X., Zhang, M., Li, C., Pang, M."Primary soft tissue chondroma of the anterior mediastinum: A case report and comprehensive literature review". Experimental and Therapeutic Medicine 30, no. 5 (2025): 216. https://doi.org/10.3892/etm.2025.12966
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang Y, Geng X, Zhang M, Li C and Pang M: Primary soft tissue chondroma of the anterior mediastinum: A case report and comprehensive literature review. Exp Ther Med 30: 216, 2025.
APA
Zhang, Y., Geng, X., Zhang, M., Li, C., & Pang, M. (2025). Primary soft tissue chondroma of the anterior mediastinum: A case report and comprehensive literature review. Experimental and Therapeutic Medicine, 30, 216. https://doi.org/10.3892/etm.2025.12966
MLA
Zhang, Y., Geng, X., Zhang, M., Li, C., Pang, M."Primary soft tissue chondroma of the anterior mediastinum: A case report and comprehensive literature review". Experimental and Therapeutic Medicine 30.5 (2025): 216.
Chicago
Zhang, Y., Geng, X., Zhang, M., Li, C., Pang, M."Primary soft tissue chondroma of the anterior mediastinum: A case report and comprehensive literature review". Experimental and Therapeutic Medicine 30, no. 5 (2025): 216. https://doi.org/10.3892/etm.2025.12966
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