title: Desmoid tumour of the thoracic outlet in a 70 year-old man successfully removed through cervico-thoracic Dartevelle approach.
abstract: Desmoid tumours have a strong tendency for local invasion and recurrence. A 70 year-old male presented with cervical and left shoulder pain associated with a supraclavicular mass. The computed-tomography showed an expansive lesion measuring 10 cm × 6 cm × 5.5 cm in the left supraclavicular space. At magnetic resonance imaging the subclavian vessels and the brachial plexus were dislocated anteriorly but not infiltrated. An incisional biopsy suggested a desmoid tumour. An anterior cervicothoracic approach was used to remove the tumour. The chest wall was reconstructed with titanium bars and a polytetrafluoroethylene-patch. The clavicle was fixed using a titanium clip. The post-operative course was uneventful. The patient was treated with adjuvant radiation therapy. After six months the patient is in good clinical condition free from disease recurrence. In conclusion, desmoid tumour of the thoracic outlet is a challenging situation. Wide radical resection should be attempted whenever possible. The Dartevelle approach gives an optimal surgical field with direct control of vessels and nerve roots facilitating tumour dissection and radical resection en-bloc with the chest wall. The chest wall reconstruction with titanium bars and clips is a simple and effective method to guarantee good respiratory function and to stabilise the shoulder girdle.
authors: Thoracic Surgery Operative Unit, S. Orsola-Malpighi University Hospital, Bologna, Italy.
authors: Franco
authors: F
authors: Stella
authors: Andrea
authors: A
authors: Dell'amore
authors: Asadi
authors: A
authors: Nizar
authors: Nicola
authors: N
authors: Cassanelli
authors: Guido
authors: G
authors: Caroli
authors: Giulia
authors: G
authors: Luciano
authors: Domenico
authors: D
authors: Greco
authors: Giampiero
authors: G
authors: Dolci
authors: Giulia
authors: G
authors: Pirini
authors: Alessandro
authors: A
authors: Bini
mesh_terms: D000368:Aged; D018222:Desmoid Tumors / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D035441:Thoracic Wall / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed