학술논문

Clamshellアプローチで切除した巨大縦隔脂肪肉腫の1例 / Resection of giant anterior mediastinal liposarcoma by clamshell incision
Document Type
Journal Article
Source
日本呼吸器外科学会雑誌 / The Journal of the Japanese Association for Chest Surgery. 2023, 37(4):236
Subject
clamshell incision
dedifferentiated liposarcoma
extracorporeal membrane oxygenation
mediastinal liposarcoma
クラムシェル切開
縦隔脂肪肉腫
脱分化型脂肪肉腫
膜型人工肺
Language
Japanese
ISSN
0919-0945
1881-4158
Abstract
A 56-year-old woman presented at our hospital with dyspnea and weight loss. Computed tomography showed a giant mass in the anterior mediastinum and both thoracic cavities, which was about 30 cm in diameter. We diagnosed the mass as liposarcoma, and planned resection based on radiological findings. We prepared extracorporeal membrane oxygenation to avoid ventilation failure and circulatory collapse at the introduction of general anesthesia and during surgery. The tumor was completely resected by clamshell incision, measured 38 cm, and weighed 2855 g, pathologically diagnosed as dedifferentiated liposarcoma. She has been followed up for two years since surgery without recurrence.