Long-term survival after salvage surgery for invasive thymoma with intracardiac extension.
We report a case of successful salvage surgery for invasive thymoma initially judged to be unresectable that did not respond to sequential chemoradiotherapy. The patient underwent en bloc resection of the tumor, superior vena cava, upper portion of the right atrium (RA) and intracardiac neoplastic thrombus with the aid of a cardiopulmonary bypass without cardiac arrest. The patient is disease free 8.5 years after radical thymectomy and subsequent resection of 2 second primary lung adenocarcinomas.
Pastorino
Ugo
U
Division of Thoracic Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy. ugo.pastorino@istitutotumori.mi.it
Yang
Xue Ning
XN
Francese
Massimo
M
Durkovic
Sava
S
Biglioli
Paolo
P
D000230:Adenocarcinoma / Q000601:surgery; D001807:Blood Vessel Prosthesis; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D005260:Female; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D016609:Neoplasms, Second Primary / Q000601:surgery; D011138:Polytetrafluoroethylene; D016879:Salvage Therapy / Q000379:methods*; D013934:Thymectomy; D013945:Thymoma / Q000556:secondary* / Q000601:surgery*; D013953:Thymus Neoplasms / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods; D014683:Vena Cava, Superior / Q000473:pathology / Q000601:surgery
D011138:Polytetrafluoroethylene