Preferred surgical approach for dumbbell-shaped tumors in the posterior mediastinum

Sumiko Maeda, Satomi Takahashi, Kaoru Koike, Masami Sato

    Research output: Contribution to journalArticlepeer-review

    10 Citations (Scopus)

    Abstract

    We present the case of a 67-year-old male smoker with a posterior mediastinal hemangioma. Radiological findings revealed a dumbbell-shaped tumor with a neuroforaminal extension in the right paravertebral space. Under the preoperative diagnosis of a neurogenic tumor, surgery was performed using a combined anterior and posterior approach. During the thora-cotomy, the tumor was found to be a hemangioma. We ligated the involved vessels before performing laminectomy, thus ensuring that complete tumor resection was achieved without massive bleeding in the spinal canal. Dumbbell-shaped hemangiomas are rare, and preopera-tive confirmation of the diagnosis is challenging. Thoracotomy before laminectomy is optimal for the resection of dumbbell-shaped tumors of the mediastinum, especially with marked vascularity, given that the initial thoracotomy procedures facilitate the subsequent laminec-tomy procedures.

    Original languageEnglish
    Pages (from-to)394-396
    Number of pages3
    JournalAnnals of Thoracic and Cardiovascular Surgery
    Volume17
    Issue number4
    DOIs
    Publication statusPublished - 2011

    Keywords

    • Dumbbell-shaped tumor
    • Mediastinal hemangioma
    • Thoracotomy

    ASJC Scopus subject areas

    • Surgery
    • Pulmonary and Respiratory Medicine
    • Cardiology and Cardiovascular Medicine
    • Gastroenterology

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