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Resection of a giant mediastinal atypical lipomatous tumor involving the esophagus

Liposarcoma is one of the common soft tissue tumors but barely arises from the mediastinum. Complete surgical resection with a negative surgical margin is required for the treatment; however, mediastinal liposarcomas tend to be large due to its slow-growing nature. A 57-year-old man was referred to...

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Detalles Bibliográficos
Autores principales: Suzuki, Takaya, Sato, Taku, Hasumi, Tohru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7816792/
https://www.ncbi.nlm.nih.gov/pubmed/33505654
http://dx.doi.org/10.1093/jscr/rjaa561
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author Suzuki, Takaya
Sato, Taku
Hasumi, Tohru
author_facet Suzuki, Takaya
Sato, Taku
Hasumi, Tohru
author_sort Suzuki, Takaya
collection PubMed
description Liposarcoma is one of the common soft tissue tumors but barely arises from the mediastinum. Complete surgical resection with a negative surgical margin is required for the treatment; however, mediastinal liposarcomas tend to be large due to its slow-growing nature. A 57-year-old man was referred to us for having an abnormal mediastinal shadow in a chest X-ray. Computed tomography scanning revealed a giant posterior mediastinal tumor, completely involving the esophagus. Because of the unusual size and location of the tumor, we took a bilateral video-assisted thoracoscopic approach. First, the soft lipomatous compartment of the tumor was dissected from the esophagus and the descending aorta via the left thoracic cavity complete thoracoscopic procedure. Then, the patient was placed in the left lateral position, and the solid part of the tumor was completely resected using 13 cm of right-side thoracotomy. There was no complication or local recurrence in the first 26 months of follow-up.
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spelling pubmed-78167922021-01-26 Resection of a giant mediastinal atypical lipomatous tumor involving the esophagus Suzuki, Takaya Sato, Taku Hasumi, Tohru J Surg Case Rep Case Report Liposarcoma is one of the common soft tissue tumors but barely arises from the mediastinum. Complete surgical resection with a negative surgical margin is required for the treatment; however, mediastinal liposarcomas tend to be large due to its slow-growing nature. A 57-year-old man was referred to us for having an abnormal mediastinal shadow in a chest X-ray. Computed tomography scanning revealed a giant posterior mediastinal tumor, completely involving the esophagus. Because of the unusual size and location of the tumor, we took a bilateral video-assisted thoracoscopic approach. First, the soft lipomatous compartment of the tumor was dissected from the esophagus and the descending aorta via the left thoracic cavity complete thoracoscopic procedure. Then, the patient was placed in the left lateral position, and the solid part of the tumor was completely resected using 13 cm of right-side thoracotomy. There was no complication or local recurrence in the first 26 months of follow-up. Oxford University Press 2021-01-18 /pmc/articles/PMC7816792/ /pubmed/33505654 http://dx.doi.org/10.1093/jscr/rjaa561 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Suzuki, Takaya
Sato, Taku
Hasumi, Tohru
Resection of a giant mediastinal atypical lipomatous tumor involving the esophagus
title Resection of a giant mediastinal atypical lipomatous tumor involving the esophagus
title_full Resection of a giant mediastinal atypical lipomatous tumor involving the esophagus
title_fullStr Resection of a giant mediastinal atypical lipomatous tumor involving the esophagus
title_full_unstemmed Resection of a giant mediastinal atypical lipomatous tumor involving the esophagus
title_short Resection of a giant mediastinal atypical lipomatous tumor involving the esophagus
title_sort resection of a giant mediastinal atypical lipomatous tumor involving the esophagus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7816792/
https://www.ncbi.nlm.nih.gov/pubmed/33505654
http://dx.doi.org/10.1093/jscr/rjaa561
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