Radical operation for invasive thymoma with intracaval, intracardiac, and lung invasion.
We report a rare case of invasive type AB thymoma (WHO classification system) with intracaval and intracardiac extension into the right atrium. A cardiopulmonary bypass facilitated an en bloc excision of the tumor with a lobectomy, along with a combined resection of the right atrium and reconstruction of the bilateral brachiocephalic veins and right atrium. Aggressive surgical intervention should be considered in such cases, as long-term prognosis is primarily dependent on a complete resection of the extended thymoma.
Department of Cardiovascular Surgery, Japan Labour Health and Welfare Organization, Osaka Rosai Hospital, Osaka, Japan. shudo@s5.dion.ne.jp
Yasuhiro
Y
Shudo
Toshiki
T
Takahashi
Mitsunori
M
Ohta
Naoki
N
Ikeda
Hajime
H
Matsue
Kazuhiro
K
Taniguchi
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D019917:Blood Vessel Prosthesis Implantation; D016122:Brachiocephalic Trunk / Q000473:pathology / Q000601:surgery; D002945:Cisplatin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D020360:Neoadjuvant Therapy; D009361:Neoplasm Invasiveness; D010496:Pericardium / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D010690:Phlebography; D011013:Pneumonectomy; D013934:Thymectomy; D013945:Thymoma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery*; D013953:Thymus Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014751:Vindesine / Q000008:administration & dosage
D002945:Cisplatin; D014751:Vindesine