A case of invasive primary mediastinal seminoma treated radically with replacement of the superior vena cava.
A primary mediastinal seminoma in a 30-year-old man, invading intraluminally into the superior vena cava, was radically treated with reconstruction of the superior vena cava using Gore-Tex grafts. The patient has been doing well without any evidence of tumor recurrence for two years after the surgery, with the grafts being nicely patent. Even when a primary mediastinal seminoma is growing locally into the major veins, the tumor could and should be treated radically, with performing reconstruction of the removed venous system. Gore-Tex graft seems to be acceptable as a venous substitute for major vein replacement.
D000328:Adult; D004407:Dysgerminoma / Q000473:pathology*; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000473:pathology*; D011859:Radiography; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000601:surgery*