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

Sumiko Maeda, Satomi Takahashi, Kaoru Koike, Masami Sato

    研究成果: Article査読

    10 被引用数 (Scopus)

    抄録

    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.

    本文言語English
    ページ(範囲)394-396
    ページ数3
    ジャーナルAnnals of Thoracic and Cardiovascular Surgery
    17
    4
    DOI
    出版ステータスPublished - 2011

    ASJC Scopus subject areas

    • 外科
    • 呼吸器内科
    • 循環器および心血管医学
    • 消化器病学

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