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A case of a resected thymoma in the middle mediastinum.

Tokuno J, Cho H, Yamanashi K, Ueda Y, Sumitomo R, Shoji T, Huang CL - J Surg Case Rep (2014)

Bottom Line: We experienced an extremely rare case of a thymoma in the middle mediastinum.A 42-year-old woman presented with a 4-cm-sized abnormal mass in the middle mediastinum by chest computed tomography.An extended thymectomy was performed additionally.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Thoracic Surgery, Kitano Hospital, The Tazuke Kofukai Medical Institute, Osaka 530-8480, Japan j-tokuno@kitano-hp.or.jp.

No MeSH data available.


Related in: MedlinePlus

Intraoperative findings. Dissecting the tumor from surrounding structures. The vagus nerve was taped.
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RJU077F2: Intraoperative findings. Dissecting the tumor from surrounding structures. The vagus nerve was taped.

Mentions: To resect this tumor, we started surgery using the thoracoscopic lateral approach from the right side. There was no intrapleural adhesion or pleural effusion, and the tumor was easily detected in the mediastinum, behind the superior vena cava (SVC) anterior to the trachea. After opening of the superior mediastinal pleura, the azygos vein was dissected using Endo-GIA Tri-Staple camel 45 mm (Covidien, Dublin). Without any significant invasion to the adjacent mediastinal structures, it was possible to dissect the tumor from the trachea, SVC and right brachiocephalic vein (Fig. 2). However, the edge of this tumor was so deep that dissection of this tumor from the brachiocephalic trunk was impossible only with the right thoracoscopic lateral approach. Then, a subsequent median sternotomy was performed to remove this tumor. Intraoperative quick pathological examination diagnosed it as a thymoma. An extended thymectomy was performed additionally.Figure 2:


A case of a resected thymoma in the middle mediastinum.

Tokuno J, Cho H, Yamanashi K, Ueda Y, Sumitomo R, Shoji T, Huang CL - J Surg Case Rep (2014)

Intraoperative findings. Dissecting the tumor from surrounding structures. The vagus nerve was taped.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126028&req=5

RJU077F2: Intraoperative findings. Dissecting the tumor from surrounding structures. The vagus nerve was taped.
Mentions: To resect this tumor, we started surgery using the thoracoscopic lateral approach from the right side. There was no intrapleural adhesion or pleural effusion, and the tumor was easily detected in the mediastinum, behind the superior vena cava (SVC) anterior to the trachea. After opening of the superior mediastinal pleura, the azygos vein was dissected using Endo-GIA Tri-Staple camel 45 mm (Covidien, Dublin). Without any significant invasion to the adjacent mediastinal structures, it was possible to dissect the tumor from the trachea, SVC and right brachiocephalic vein (Fig. 2). However, the edge of this tumor was so deep that dissection of this tumor from the brachiocephalic trunk was impossible only with the right thoracoscopic lateral approach. Then, a subsequent median sternotomy was performed to remove this tumor. Intraoperative quick pathological examination diagnosed it as a thymoma. An extended thymectomy was performed additionally.Figure 2:

Bottom Line: We experienced an extremely rare case of a thymoma in the middle mediastinum.A 42-year-old woman presented with a 4-cm-sized abnormal mass in the middle mediastinum by chest computed tomography.An extended thymectomy was performed additionally.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Thoracic Surgery, Kitano Hospital, The Tazuke Kofukai Medical Institute, Osaka 530-8480, Japan j-tokuno@kitano-hp.or.jp.

No MeSH data available.


Related in: MedlinePlus