Complete Resection of a Giant Mediastinal Leiomyosarcoma
Primary mediastinal leiomyosarcoma is an extremely rare malignancy, and the only opportunity for a cure lies with an aggressive surgical approach. We report a 66-year-old woman who underwent complete resection of a giant mediastinal leiomyosarcoma located on the bilateral diaphragm. The tumor encase...
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| Veröffentlicht in: | The Annals of thoracic surgery 2015-03, Vol.99 (3), p.e69-e71 |
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| container_issue | 3 |
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| container_title | The Annals of thoracic surgery |
| container_volume | 99 |
| creator | Chen, Fengshi, MD Muranishi, Yusuke, MD Minakata, Kenji, MD Taura, Kojiro, MD Okabe, Hiroshi, MD Mizota, Toshiyuki, MD Sonobe, Makoto, MD Date, Hiroshi, MD |
| description | Primary mediastinal leiomyosarcoma is an extremely rare malignancy, and the only opportunity for a cure lies with an aggressive surgical approach. We report a 66-year-old woman who underwent complete resection of a giant mediastinal leiomyosarcoma located on the bilateral diaphragm. The tumor encased the inferior vena cava and compressed the adjacent structures. Using cardiopulmonary bypass with 20 minutes of hepatic ischemia, the tumor was completely resected with combined resection and reconstruction of the surrounding structures. Because of the tumor size and location in the boundary area between thoracic and abdominal surgeries, the procedure necessitated the cooperation of many expert surgeons. |
| doi_str_mv | 10.1016/j.athoracsur.2014.12.024 |
| format | Article |
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We report a 66-year-old woman who underwent complete resection of a giant mediastinal leiomyosarcoma located on the bilateral diaphragm. The tumor encased the inferior vena cava and compressed the adjacent structures. Using cardiopulmonary bypass with 20 minutes of hepatic ischemia, the tumor was completely resected with combined resection and reconstruction of the surrounding structures. 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Because of the tumor size and location in the boundary area between thoracic and abdominal surgeries, the procedure necessitated the cooperation of many expert surgeons.</description><subject>Aged</subject><subject>Cardiothoracic Surgery</subject><subject>Humans</subject><subject>Leiomyosarcoma - pathology</subject><subject>Leiomyosarcoma - surgery</subject><subject>Male</subject><subject>Mediastinal Neoplasms - pathology</subject><subject>Mediastinal Neoplasms - surgery</subject><subject>Surgery</subject><subject>Surgical Procedures, Operative - methods</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkVtLxDAQhYMo7nr5C9JHX1pzaZLti6CLrsKK4OU5pOkUs7bNmrTC_ntTdlXwyacwmXPOMN8glBCcEUzExSrT_Zvz2oTBZxSTPCM0wzTfQ1PCOU0F5cU-mmKMWZoXkk_QUQirWNLYPkQTymVOZ4JO0Wzu2nUDPSRPEMD01nWJqxOdLKzu-uQBKqtDbzvdJEuwrt24oL1xrT5BB7VuApzu3mP0envzMr9Ll4-L-_nVMjU8530qqxrXtRSlNkSUHPPSgC7AUEp0RWRuahr_ZclLzaCCwpRMmJqxAogUUgI7Rufb3LV3HwOEXrU2GGga3YEbgiJCEEaFEHmUzrZS410IHmq19rbVfqMIViM3tVK_3NTITRGqIrdoPdtNGcoWqh_jN6gouN4KIO76acGrYCx0JvLxEZuqnP3PlMs_IaaxnTW6eYcNhJUbfAQdd1IhGtTzeL_xfCTHlNEY8AWqpJlC</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Chen, Fengshi, MD</creator><creator>Muranishi, Yusuke, MD</creator><creator>Minakata, Kenji, MD</creator><creator>Taura, Kojiro, MD</creator><creator>Okabe, Hiroshi, MD</creator><creator>Mizota, Toshiyuki, MD</creator><creator>Sonobe, Makoto, MD</creator><creator>Date, Hiroshi, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>Complete Resection of a Giant Mediastinal Leiomyosarcoma</title><author>Chen, Fengshi, MD ; Muranishi, Yusuke, MD ; Minakata, Kenji, MD ; Taura, Kojiro, MD ; Okabe, Hiroshi, MD ; Mizota, Toshiyuki, MD ; Sonobe, Makoto, MD ; Date, Hiroshi, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c545t-7df0ff76bac16b505bcea9ec221ad174cf216b7b5ba3ede9cb36cf339e17677e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Cardiothoracic Surgery</topic><topic>Humans</topic><topic>Leiomyosarcoma - pathology</topic><topic>Leiomyosarcoma - surgery</topic><topic>Male</topic><topic>Mediastinal Neoplasms - pathology</topic><topic>Mediastinal Neoplasms - surgery</topic><topic>Surgery</topic><topic>Surgical Procedures, Operative - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Fengshi, MD</creatorcontrib><creatorcontrib>Muranishi, Yusuke, MD</creatorcontrib><creatorcontrib>Minakata, Kenji, MD</creatorcontrib><creatorcontrib>Taura, Kojiro, MD</creatorcontrib><creatorcontrib>Okabe, Hiroshi, MD</creatorcontrib><creatorcontrib>Mizota, Toshiyuki, MD</creatorcontrib><creatorcontrib>Sonobe, Makoto, MD</creatorcontrib><creatorcontrib>Date, Hiroshi, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Fengshi, MD</au><au>Muranishi, Yusuke, MD</au><au>Minakata, Kenji, MD</au><au>Taura, Kojiro, MD</au><au>Okabe, Hiroshi, MD</au><au>Mizota, Toshiyuki, MD</au><au>Sonobe, Makoto, MD</au><au>Date, Hiroshi, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complete Resection of a Giant Mediastinal Leiomyosarcoma</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>99</volume><issue>3</issue><spage>e69</spage><epage>e71</epage><pages>e69-e71</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Primary mediastinal leiomyosarcoma is an extremely rare malignancy, and the only opportunity for a cure lies with an aggressive surgical approach. 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| ispartof | The Annals of thoracic surgery, 2015-03, Vol.99 (3), p.e69-e71 |
| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Aged Cardiothoracic Surgery Humans Leiomyosarcoma - pathology Leiomyosarcoma - surgery Male Mediastinal Neoplasms - pathology Mediastinal Neoplasms - surgery Surgery Surgical Procedures, Operative - methods |
| title | Complete Resection of a Giant Mediastinal Leiomyosarcoma |
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