Primary intrapulmonary thymoma successfully resected with vascular reconstruction.
Primary intrapulmonary thymomas are defined as intrapulmonary tumors without an associated mediastinal component and are very rare. We report a resected case of primary intrapulmonary thymoma with dissection of mediastinal lymph nodes and vascular reconstruction. Because the tumor directly invaded the right brachiocephalic vein, the vein was reconstructed with a graft, and then adjuvant radiation was performed postoperatively. The tumor was diagnosed as a lymphocyte dominant thymoma and B2 type thymoma in the WHO classification. There has been no evidence of recurrence in 6 years. Complete resection of the tumor with vascular reconstruction and adjuvant radiation should be considered in invasive intrapulmonary thymoma.
Ishibashi
Hironori
H
Department of Thoracic Surgery, Sendai Kousei Hospital, Sendai, Japan. hishiba@kf6.so-net.ne.jp
Takahashi
Satomi
S
Tomoko
Hosaka
H
Shibuya
Jotaro
J
Suzuki
Satoshi
S
Handa
Masashi
M
D001707:Biopsy, Needle; D016121:Brachiocephalic Veins / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology*; D011013:Pneumonectomy / Q000379:methods*; D035583:Rare Diseases; D019651:Plastic Surgery Procedures; D018570:Risk Assessment; D013908:Thoracotomy / Q000379:methods; D013945:Thymoma / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods