Preferred Surgical Approach for Dumbbell-shaped Tumors in the Posterior Mediastinum
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概要
- 論文の詳細を見る
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 thoracotomy, 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 preoperative 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 laminectomy procedures.
- Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
- 2011-08-01
著者
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Takahashi Satomi
Department of Surgery, The Research Institute for Chest Diseases and Cancer, Tohoku University
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Koike Kaoru
Department Of Emergency And Critical Care Medicine Tohoku University Graduate School Of Medicine
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Maeda Sumiko
Department Of Pathology Tohoku University School Of Medicine
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Sato Masami
Department Of Anesthesia Kyoto University Hospital
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Koike Kaoru
Department Of Thoracic Surgery Miyagi Cancer Center
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Takahashi Satomi
Department Of Thoracic Surgery Miyagi Cancer Center
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Sato Masami
Department Of Thoracic Surgery Miyagi Cancer Center
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Maeda Sumiko
Department Of Thoracic Surgery Miyagi Cancer Center
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