Intrapleural tumor dissemination after video-assisted thoracoscopic surgery metastasectomy.
In a 34-year-old woman extensive intrapleural disease developed within 1 year of video-assisted thoracoscopic surgery (VATS) removal of two pulmonary metastases from a previously treated synovial sarcoma. She underwent a successful complete pleurectomy through a left thoracotomy to excise the pleural tumor and remains well 6 months later. This case highlights tumor dissemination as one of the pitfalls of VATS metastasectomy and raises concerns about using VATS in this situation.
Department of Thoracic Surgery, Royal Brompton Hospital, London, United Kingdom.
Keng Leong
KL
Ang
Carol
C
Tan
Michael
M
Hsin
Peter
P
Goldstraw
D000328:Adult; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary* / Q000601:surgery*; D009366:Neoplasm Seeding; D010997:Pleural Neoplasms / Q000209:etiology / Q000556:secondary* / Q000601:surgery; D013584:Sarcoma, Synovial / Q000556:secondary* / Q000601:surgery; D013848:Thigh; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects*