[Giant malignant solitary fibrous tumor successfully resected via clamshell incision and lower door open thoracotomy].

Itaru Ishida, Hiroyuki Oura, Hiromichi Niikawa, Masashi Handa, Jotaro Shibuya

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

We report a case of a giant intrathoracic tumor successfully resected via clamshell incision and lower door open thoracotomy. A 62-year-old woman presented with cough and dyspnea on exertion. A chest computed tomography (CT) revealed a giant mass occupying nearly whole of the right hemithorax. Since the tumor infiltrated deeply into the lung parenchyma, we performed a right pneumonectomy. The 1st thoracotomy was performed at 4th intercostal clamshell incision. Then we divided lower sternum vertically and opened the right lower chest wall laterally. These procedures provided wide operative view from the apex to the diaphragm and excellent access to hilar constructions, and enabled enbloc resction of giant tumor with the right lung. The resected specimen was 25×19×12 cm in size, 2,830 g in weight, and histologically diagnosed as a malignant solitary fibrous tumor. We conclude that this approach is effective for excision of giant intrathoracic tumor.

Original languageEnglish
Pages (from-to)132-135
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume65
Issue number2
Publication statusPublished - 2012 Feb 1
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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