Surgical resection of recurrent bilateral mediastinal liposarcoma through the clamshell approach

Primary mediastinal liposarcoma is an unusual variant of mediastinal neoplasms. We describe a long-term survivor who underwent repeated operations. After resections through a posterolateral thoracotomy and median sternotomy, a third operation was performed for recurrent bilateral huge tumors through...

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Veröffentlicht in:The Annals of thoracic surgery 2004-05, Vol.77 (5), p.1837-1839
Hauptverfasser: Ohta, Yasuhiko, Murata, Tomomi, Tamura, Masaya, Sato, Hideo, Kurumaya, Hiroshi, Katayanagi, Kazuyoshi
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container_end_page 1839
container_issue 5
container_start_page 1837
container_title The Annals of thoracic surgery
container_volume 77
creator Ohta, Yasuhiko
Murata, Tomomi
Tamura, Masaya
Sato, Hideo
Kurumaya, Hiroshi
Katayanagi, Kazuyoshi
description Primary mediastinal liposarcoma is an unusual variant of mediastinal neoplasms. We describe a long-term survivor who underwent repeated operations. After resections through a posterolateral thoracotomy and median sternotomy, a third operation was performed for recurrent bilateral huge tumors through a clamshell incision, and both tumors were removed en bloc. Results of pathologic examination showed that both tumors were well-differentiated liposarcoma. The patient is currently well 16 years after the first operation. Aggressive surgical intervention whenever possible appears to improve the quality of life and prolong the survival of patients with mediastinal liposarcoma.
doi_str_mv 10.1016/S0003-4975(03)01242-6
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Cardiology. Vascular system
Female
Humans
Liposarcoma - diagnosis
Liposarcoma - pathology
Liposarcoma - surgery
Magnetic Resonance Imaging
Mediastinal Neoplasms - diagnosis
Mediastinal Neoplasms - pathology
Mediastinal Neoplasms - surgery
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - surgery
Pneumology
Reoperation
Thoracotomy - methods
title Surgical resection of recurrent bilateral mediastinal liposarcoma through the clamshell approach
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