Resection of giant mediastinal liposarcoma via ‘⊣ shape’ incision

Huang, Wei; Jiang, Ge

doi:10.1093/jscr/rjw219

Cited by 6 publications

(9 citation statements)

References 6 publications

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“…[ 18 ] Huang and Jiang reported complete removal of a giant mediastinal liposarcoma using a “ shape” incision, indicting this kind of incision is a good backup for the extension of standard median sternotomy and provides a better exposure for both mediastinum and hemithorax. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

“…Lipomas are very common benign neoplastic mesenchymal tumors arising from adipose tissue, while liposarcomas are the most common soft-tissue sarcomas in adult. [ 1 – 4 ] However, giant mediastinal lipoma/liposarcoma involving both hemithorax, resulting in the compression of the lung with attendant respiratory embarrassment, is extremely rare in clinic. [ 2 , 3 , 5 ] With good outcomes, surgical removal remains the first choice for the treatment of these kinds of diseases.…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, the management of a very huge mediastinal tumor involving both chest cavities is always challenging. [ 4 – 6 ] Herein, we present our experiences on the surgical management of 2 cases of giant mediastinal tumors, one of which was lipoma and the other one was liposarcoma.…”

Section: Introductionmentioning

confidence: 99%

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Successful removal of giant mediastinal lipoma and liposarcoma involving both chest cavities

Chen

Chen²,

Li³

et al. 2018

Medicine

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Rationale:Surgical removal of a giant mediastinal lipoma or liposarcoma involving both chest cavities is always challenging.Patient concerns:We present 2 cases of giant mediastinal tumor, one of which was a 22-year-old female who was admitted to our hospital due to a mild dyspnea after running. Computed tomography (CT) scan revealed a large mass with low density occupying the entire right hemithorax and extending anteriorly into the left. The other patient was a 43-year-old male, who was presented to the hospital with complaints of gradually progressive dyspnea. CT scan revealed a mass comprised of fat density with areas of soft-tissue density in-between, involving in both chest cavities, draping around the heart and great vessels.Interventions:Both of the patients receive complete resection through a standard median sternotomy.Diagnoses:Histologic examination revealed lipoma for the first patient, and well differentiated liposarcoma for the second.Outcomes:Both of their symptoms were improved after surgery and the postoperative courses were good.Lessons:Our experience indicated that complete surgical removal through a standard median sternotomy is a safe and efficient approach for the treatment of giant mediastinal lipoma and liposarcoma.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Successful removal of giant mediastinal lipoma and liposarcoma involving both chest cavities

Chen

Chen²,

Li³

et al. 2018

Medicine

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“…A lateral thoracotomy is recommended for tumors primarily located in one hemithorax,[ 2 , 3 ] while median sternotomy is recommended for tumors at the anterosuperior mediastinum. [ 7 , 12 ] The hemi-clamshell procedure should be considered, if the tumor is located at the anterior mediastinum and extends into one hemithorax,[ 6 , 15 ] while the clamshell or bilateral thoracotomy is recommended, if the tumor extends into the bilateral hemithorax. [ 10 , 40 ] A collar incision should be considered, if the tumor involves the neck,[ 33 ] while acollar incision plus median sternotomy is recommended, if the tumor is located at the anterosuperior mediastinum and involves the neck.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of giant mediastinal tumors

Qin

2021

Turk Gogus Kalp Dama

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Background This study aims to evaluate the surgical treatment outcomes of giant mediastinal tumors. Methods Between July 2013 and July 2018, medical data of a total of 31 patients (26 males, 5 females; mean age 27.7±8.2 years; range, 18 to 56 years) who underwent radical surgery for a giant mediastinal tumor in our center and 47 cases (26 males, 21 females; mean age 45.4±16.7 years; range, 19 to 62 years) of giant mediastinal tumors retrieved from the National Center for Biotechnology Information database were retrospectively reviewed. Two-year overall survival and disease-free survival rates of the patients were evaluated. Results All patients underwent radical surgery (R0 resection). Symptoms caused by giant mediastinal tumors were relieved after radical surgery during follow-up. The two-year overall survival and disease-free survival rates were 100% and 86.7%, respectively, indicating a good prognosis. The surgical procedures for malignancies were more difficult than those for benign pathologies. Conclusion Radical surgery is the mainstay for treatment of giant mediastinal tumors to relieve symptoms in a short period of time and to achieve a good prognosis for up to two years, regardless of adjuvant therapy. The surgical route should be cautiously planned before radical surgery to reduce complications.

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“…In the majority of previously reported cases in which tumors were situated in the anterior mediastinum, an anterior approach such as median sternotomy or clamshell thoracotomy was employed [ 5 , 7 ]. For the resection of middle/posterior mediastinal liposarcomas, unilateral thoracotomy was often adequate for full exposure of the tumor [ 8 ]. Because of the unique location and extent of the ALT in the current case; however, we thought that a median sternotomy or a posterolateral approach would not be useful for complete resection.…”

Section: Discussionmentioning

confidence: 99%

Resection of a giant mediastinal atypical lipomatous tumor involving the esophagus

Suzuki

Sato

Hasumi

2021

Journal of Surgical Case Reports

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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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Resection of giant mediastinal liposarcoma via ‘⊣ shape’ incision

Cited by 6 publications

References 6 publications

Successful removal of giant mediastinal lipoma and liposarcoma involving both chest cavities

Successful removal of giant mediastinal lipoma and liposarcoma involving both chest cavities

Surgical treatment of giant mediastinal tumors

Resection of a giant mediastinal atypical lipomatous tumor involving the esophagus

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