[Giant malignant solitary fibrous tumor successfully resected via clamshell incision and lower door open thoracotomy].

Abstract

We report a case of a giant intrathoracic tumor successfully resected via clamshell incision and lower door open thoracotomy. A 62-year-old woman presented with cough and dyspnea on exertion. A chest computed tomography (CT) revealed a giant mass occupying nearly whole of the right hemithorax. Since the tumor infiltrated deeply into the lung parenchyma, we performed a right pneumonectomy. The 1st thoracotomy was performed at 4th intercostal clamshell incision. Then we divided lower sternum vertically and opened the right lower chest wall laterally. These procedures provided wide operative view from the apex to the diaphragm and excellent access to hilar constructions, and enabled enbloc resction of giant tumor with the right lung. The resected specimen was 25×19×12 cm in size, 2,830 g in weight, and histologically diagnosed as a malignant solitary fibrous tumor. We conclude that this approach is effective for excision of giant intrathoracic tumor.

• Authors: Itaru Ishida, Hiroyuki Oura, Hiromichi Niikawa, Masashi Handa, Jotaro Shibuya
• Journal: Kyobu geka. The Japanese journal of thoracic surgery (Kyobu Geka) Vol. 65 Issue 2 Pg. 132-5 (Feb 2012) ISSN: 0021-5252 [Print] Japan
• PMID: 22314169 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Humans
• Lung Neoplasms (surgery)
• Male
• Middle Aged
• Pneumonectomy
• Solitary Fibrous Tumors (surgery)
• Thoracic Neoplasms (surgery)
• Thoracotomy (methods)