title: Video-assisted thoracic surgery for Ewing's sarcoma of the mediastinum in a 3-year-old girl.
abstract: We report of the experience of video-assisted thoracic surgery (VATS) for a Ewing's sarcoma at the posterior mediastinum in a 3 year old girl. The patient developed common cold like symptoms and developed rapid lower limb paraplegia. A chest computed tomography (CT) showed a solid mass adjacent to the vertebrae. This was diagnosed as a Ewing's sarcoma histopathologically by CT-guided needle biopsy (CT-NB). The mass was pressing on a nerve root in the vicinity of a vertebral foramen. As the tumor reduced after induction chemotherapy, with improvement of paraplegia, the patient underwent thoracoscopic examination followed by complete removal of the tumor by VATS. After surgery, the patient underwent postoperative chemo-radiotherapy. Five years has passed after operation without tumor recurrence. VATS could be an option as combined therapy for Ewing's sarcoma when well controlled and localized under induction therapy.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Nippon Medical School, Tokyo, Japan.
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Koizumi
authors.forename: Shuji
authors.initials: S
authors.lastname: Haraguchi
authors.forename: Iwao
authors.initials: I
authors.lastname: Mikami
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Kubokura
authors.forename: Daisuke
authors.initials: D
authors.lastname: Okada
authors.forename: Shigeki
authors.initials: S
authors.lastname: Yamagishi
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Kinoshita
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Enomoto
authors.forename: Kazuo
authors.initials: K
authors.lastname: Shimizu
authors.forename: Miho
authors.initials: M
authors.lastname: Maeda
mesh_terms: D002675:Child, Preschool; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008479:Mediastinal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D012512:Sarcoma, Ewing / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013117:Spinal Cord Compression / Q000209:etiology; D020775:Thoracic Surgery, Video-Assisted; D014057:Tomography, X-Ray Computed