title: [Complete resection of the invasive thymoma combined with replacement of aortic arch and pneumonectomy].
abstract: A 68-year-old male was found an abnormal shadow on chest X-ray and was diagnosed as thymoma by computed tomography (CT)-guided needle biopsy. As the tumor invaded the aortic arch, left main pulmonary artery and the lung, thymectomy combined resection of the surrounding tissues was performed for the complete resection. The aortic arch was replaced with cardiovascular graft under cardiopulmonary bypass, with the aid of selective cerebral perfusion. The left pneumonectomy was performed because the tumor invaded to the left main pulmonary artery and to the lung parenchyma. Masaoka stage III and histologic type B2 were diagnosed according to the World Health Organization classification. The patient has been well without recurrence or metastasis after the surgery for 2 years. A complete resection of the thymoma invaded to great vessels should be performed to expect for the good curability and prognosis.
authors.affiliation: Department of Second Surgery, Faculty of Medicine, Miyazaki University, Japan.
authors.forename: Takanori
authors.initials: T
authors.lastname: Ayabe
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Matsuzaki
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Shimizu
authors.forename: Masaki
authors.initials: M
authors.lastname: Hara
authors.forename: Masaki
authors.initials: M
authors.lastname: Tomita
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Yano
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Yano
authors.forename: Kunihide
authors.initials: K
authors.lastname: Nakamura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ito
authors.forename: Koki
authors.initials: K
authors.lastname: Nagaike
authors.forename: Toshio
authors.initials: T
authors.lastname: Onitsuka
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D011013:Pneumonectomy; D013945:Thymoma / Q000601:surgery*; D013953:Thymus Neoplasms / Q000601:surgery*