Limits...
Port-site implantation of Type A Masaoka Stage   I thymoma aftervideo-assisted thoracic surgery: a case report

View Article: PubMed Central - HTML - PubMed

ABSTRACT

A 60-year-old woman was referred to our hospital with an anterior mediastinal tumormeasuring 3.5 cm in diameter on computed tomography (CT). We performed tumorresection by video-assisted thoracic surgery (VATS) with three ports. The finaldiagnosis was Type A Masaoka Stage I thymoma. On follow-up CT performed 36 monthsafter the operation, two pleural tumors were detected at the port sites through whichthe forceps and ultrasonic scalpel had passed repeatedly during the operation. Wetherefore performed a second operation and enucleated the tumors while preserving theribs. However, other tumor tissue was detected along the surgical marginal lineduring the pathological diagnosis after the operation. Surgeons should thus be awarethat port-site recurrence can occur after VATS resection of Type A thymoma, despiteits mild biological behavior. Wide resection of the chest wall is thereforerecommended for operations of port-site recurrence after VATS thymectomy.

No MeSH data available.


Related in: MedlinePlus

Initial CT revealed a tumor in the right anterior mediastinum with a diameterof 3.5 cm, round shape, which was clearly demarcated from the neighboringtissue.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC5036355&req=5

rjw164F1: Initial CT revealed a tumor in the right anterior mediastinum with a diameterof 3.5 cm, round shape, which was clearly demarcated from the neighboringtissue.

Mentions: A 60-year-old woman was referred to our hospital with an anterior mediastinal tumor oncomputed tomography (CT) performed for follow-up 6 years after a complete response tochemotherapy for malignant lymphoma. CT revealed a tumor in the right anteriormediastinum with a diameter of 3.5 cm, round shape and demarcation from the neighboringtissue (Fig. 1). No recurrent lesion of themalignant lymphoma was detected. She had no symptoms, including none due to myastheniagravis. Her anti-acetylcholine receptor antibody level was 0.2 nmol/L (within normalrange). To confirm the diagnosis and treat the patient, we planned tumor resection viaVATS. Figure 1:


Port-site implantation of Type A Masaoka Stage   I thymoma aftervideo-assisted thoracic surgery: a case report
Initial CT revealed a tumor in the right anterior mediastinum with a diameterof 3.5 cm, round shape, which was clearly demarcated from the neighboringtissue.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5036355&req=5

rjw164F1: Initial CT revealed a tumor in the right anterior mediastinum with a diameterof 3.5 cm, round shape, which was clearly demarcated from the neighboringtissue.
Mentions: A 60-year-old woman was referred to our hospital with an anterior mediastinal tumor oncomputed tomography (CT) performed for follow-up 6 years after a complete response tochemotherapy for malignant lymphoma. CT revealed a tumor in the right anteriormediastinum with a diameter of 3.5 cm, round shape and demarcation from the neighboringtissue (Fig. 1). No recurrent lesion of themalignant lymphoma was detected. She had no symptoms, including none due to myastheniagravis. Her anti-acetylcholine receptor antibody level was 0.2 nmol/L (within normalrange). To confirm the diagnosis and treat the patient, we planned tumor resection viaVATS. Figure 1:

View Article: PubMed Central - HTML - PubMed

ABSTRACT

A 60-year-old woman was referred to our hospital with an anterior mediastinal tumormeasuring 3.5 cm in diameter on computed tomography (CT). We performed tumorresection by video-assisted thoracic surgery (VATS) with three ports. The finaldiagnosis was Type A Masaoka Stage I thymoma. On follow-up CT performed 36 monthsafter the operation, two pleural tumors were detected at the port sites through whichthe forceps and ultrasonic scalpel had passed repeatedly during the operation. Wetherefore performed a second operation and enucleated the tumors while preserving theribs. However, other tumor tissue was detected along the surgical marginal lineduring the pathological diagnosis after the operation. Surgeons should thus be awarethat port-site recurrence can occur after VATS resection of Type A thymoma, despiteits mild biological behavior. Wide resection of the chest wall is thereforerecommended for operations of port-site recurrence after VATS thymectomy.

No MeSH data available.


Related in: MedlinePlus