Locally Invasive Angiomyolipoma of the Mediastinum

We describe a case of a young woman who developed an epithelial subtype angiomyolipoma of the anterior mediastinum, a rare aggressive form of the tumour not previously reported in the chest. Both radiological and macroscopic appearances of the tumour were abnormal, with an invasive and more diffuse appearing tumour than the classically described localised lesions in the literature.