Evaluation of surgical procedures in primary mediastinal cysts and tumors: single-center experience

Kermenli, Tayfun; Azar, Cebrail

doi:10.5114/kitp.2019.88597

Cited by 3 publications

(7 citation statements)

References 18 publications

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“…As in our case, pre-operative assessment with CT imaging to assess anatomy and vascular involvement and PET scanning to investigate for malignancy prior to surgery is imperative. MRI is also a useful modality to look for local invasion [ 7 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…In our case, due to the size of the tumour and mediastinal fat, and patient’s body habitus, it was decided robotic and thoracoscopic approaches would have a high risk of conversion to open. Good exposure is the main goal, to obtain a good margin whilst conserving the innominate vein, and phrenic nerves [ 3 , 6 , 7 , 10 , 11 ]. Pure seminomas are radiotherapy and chemotherapy sensitive and respond well to this treatment, if deemed not suitable for surgery.…”

Section: Discussionmentioning

confidence: 99%

“…In general, primary mediastinal seminomas have a good prognosis [ 1 , 3 , 6 , 7 ],typically present in men of age 20–40 years 3. , often asymptomatic and found incidentally in 20–30% of cases. Our case is of a 48 year old gentleman with an incidental finding of a primary mediastinal seminoma with florid follicular lymphoid hyperplasia who had undergone an excision of a clinically presumed thymoma.…”

Section: Introductionmentioning

confidence: 99%

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Primary mediastinal seminoma with florid follicular lymphoid hyperplasia: a case report and review of the literature

2021

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Background First described in 1955 Primary mediastinal seminomas are rare. Only 1–4% of mediastinal tumours are germ cell tumors; majority of which are teratomas. They typically present in men aged between 20 and 40 years. Very few cases are reported in the literature. Florid follicular lymphoid hyperplasia can obscure the malignant cells and is a rarer finding still. We present a rare case of a 48 year old man with a primary mediastinal seminoma with florid follicular lymphoid hyperplasia; found following excision of a clinically presumed thymoma. Case presentation A 48 year old man was referred for excision of a thymic mass. The presumed diagnosis was a thymoma; following preoperative investigations. The mass was incidentally found on a radiological imaging. However, the patient did report mid-sternal discomfort on lying flat and breathlessness. The patient underwent a thymectomy via a partial median sternotomy with good recovery. Histological assessment was that the mass was in fact a primary mediastinal seminoma with florid follicular lymphoid hyperplasia. A primary testicular malignancy was excluded and the patient required no further oncological treatment. Conclusions Only 11 cases have previously been reported of primary mediastinal seminoma with florid follicular lymphoid hyperplasia. Although rare, a primary mediastinal seminoma should be considered as a differential diagnosis for presentations with a thymic mass. Tumour markers can be helpful, however are only positive in third of cases. Ultrasound imaging of the gonads is essential to exclude a primary gonadal lesion. Pure seminomas are radiotherapy and chemotherapy sensitive however the mainstay treatment of primary mediastinal seminomas remains surgical excision. Radiotherapy is reserved postoperatively for incomplete surgical margins.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Primary mediastinal seminoma with florid follicular lymphoid hyperplasia: a case report and review of the literature

2021

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“…In patients who underwent pleural tents, the drain was placed over the pleural tent (Figure 1). The average length of hospital stay was found to be 7.75 days (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), and the time to removal the thorax drain was 9.5 (4-23) days. The demographic status of the patients and their perioperative findings are presented in Table II.…”

Section: Original Papermentioning

confidence: 99%

“…The most important reason for this is that VATS is used in many procedures including major lung resections in thoracic surgery operations. In addition, VATS provides a wide field of view in lung and mediastinal surgery [ 8 , 9 ]. With the use of a single port or multiple ports, patients have advantages over thoracotomy in terms of postoperative pain [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Analysis of lung volume reduction surgery results with video-assisted thoracoscopic surgery in emphysematous lung patients

Kermenli¹,

Azar²

2020

kitp

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Aim: In our study, we aimed to evaluate the results of patients who underwent lung volume reduction surgery with videoassisted thoracoscopic surgery due to diffuse or upper lobe limited emphysema. Material and methods: Patients who underwent lung volume reduction surgery (LVRS) for emphysema in our clinic between March 2015 and January 2020 were included in the study. The files of the patients were evaluated retrospectively. Age, gender, smoking history, hospitalization time, drain removal time, complications, and postoperative pulmonary function test values were evaluated in the patient records. Results: Twenty-four of the patients were male and 2 were female. The average age was determined as 49.6. Twenty-six patients underwent 31 surgical procedures, 5 of which were bilateral. Twenty-seven of them were performed by videothoracoscopic LVRS. Preoperative mean forced expiratory volume in 1 s (FEV 1) value was 32.7%, total lung capacity 132%, residual volume 280%. The average length of hospital stay was found to be 7.75 days (4-19), and the time to remove the thorax drain was 9.5 (4-23) days. FEV 1 : 1.78 (48.5%) was found in the pulmonary function tests of the patients at the 6 th month postoperative controls. According to preoperative FEV 1 , 48.3% improvement was detected. Conclusions: Volume reduction surgery is a treatment method that positively affects the natural course of emphysema in addition to quitting smoking and oxygen therapy. Patients with predominantly emphysema in the upper lobes, low exercise capacity, and appropriate FEV 1 values benefited most from this treatment.

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Uniportal video-assisted thoracoscopic surgery for complex mediastinal mature teratoma: A case report

Hu¹,

Dong²,

Zhu³

2021

WJCC

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BACKGROUND Mediastinal mature teratoma is the most common histological type of primary extragonadal germ cell tumor. In this report, we describe a rare case of giant mature teratoma located primarily in the anterior mediastinum and causing partial atelectasis of the upper and middle lobes of the right lung, as well as extrinsic compression of the right atrium. CASE SUMMARY A 31-year-old male with a giant mediastinal mature teratoma presented with progressive exertional dyspnea and chest pain for 1 mo. Computed tomography of the chest indicated the diagnosis of anterior mediastinal teratoma. The patient underwent right uniportal anterior approach video-assisted thoracoscopic surgery (VATS). En bloc resection of the giant teratoma, wedge resection of the upper and middle lobes of the right lung, resection of the thymus and partial excision of the pericardium were successfully performed. The pathological diagnosis revealed a mature cystic teratoma with foreign-body reaction that was closely related to the right lung, atrium dextrum, superior vena cava and ascending aorta. An atrophic thymic tissue was also discovered at the external teratoma surface. The patient was discharged on postoperative day 7. CONCLUSION This is the first report of the use of uniportal VATS for complete resection of a teratoma in combination with wedge resection of the right upper and middle lung lobes and partial resection of the pericardium.

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Evaluation of surgical procedures in primary mediastinal cysts and tumors: single-center experience

Cited by 3 publications

References 18 publications

Primary mediastinal seminoma with florid follicular lymphoid hyperplasia: a case report and review of the literature

Primary mediastinal seminoma with florid follicular lymphoid hyperplasia: a case report and review of the literature

Analysis of lung volume reduction surgery results with video-assisted thoracoscopic surgery in emphysematous lung patients

Uniportal video-assisted thoracoscopic surgery for complex mediastinal mature teratoma: A case report

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