[A case of the successful surgical treatment of mediastinal giant neurogenic tumor, and the chest wall reconstruction by the autologous ribs].
A mediastinal tumor, particularly a neurogenic tumor, sometimes develops into a giant tumor; this large tumor mass then puts pressure on the heart and lungs, and may cause severe complications. In our department, 164 mediastinal tumors were experienced, the largest one was an intrathoracic fibromyoma which weighed 3,760 g. This report deals with our recent experience in which we found a neurogenic tumor weighed out 4,500 g. This tumor was excised in an emergency operation, after which the patient's life was saved by twenty-two days of artificial respiration. Since this tumor was so large, four entire right ribs had to be removed in order to create enough space to excise it. In order to reconstruct the chest wall, three of the removed ribs were retransplanted in their original sites. An extremely good prognosis resulted.
Ishikawa
S
S
Tsutsumi
M
M
Mikami
K
K
Izumi
H
H
Ishihara
S
S
Saiki
S
S
Suzuki
M
M
D000328:Adult; D005260:Female; D006801:Humans; D008479:Mediastinal Neoplasms / Q000473:pathology / Q000601:surgery*; D009380:Neoplasms, Nerve Tissue / Q000473:pathology / Q000601:surgery*; D012272:Ribs / Q000601:surgery*; D013905:Thoracoplasty