Complete resection of a giant mediastinal leiomyosarcoma.
Primary mediastinal leiomyosarcoma is an extremely rare malignancy, and the only opportunity for a cure lies with an aggressive surgical approach. We report a 66-year-old woman who underwent complete resection of a giant mediastinal leiomyosarcoma located on the bilateral diaphragm. The tumor encased the inferior vena cava and compressed the adjacent structures. Using cardiopulmonary bypass with 20 minutes of hepatic ischemia, the tumor was completely resected with combined resection and reconstruction of the surrounding structures. Because of the tumor size and location in the boundary area between thoracic and abdominal surgeries, the procedure necessitated the cooperation of many expert surgeons.
Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Fengshi
F
Chen
Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Yusuke
Y
Muranishi
Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Kenji
K
Minakata
Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Kojiro
K
Taura
Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Hiroshi
H
Okabe
Department of Anesthesia, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Toshiyuki
T
Mizota
Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Makoto
M
Sonobe
Department of Thoracic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan. Electronic address: hdate@kuhp.kyoto-u.ac.jp.
Hiroshi
H
Date
D000368:Aged; D006801:Humans; D007890:Leiomyosarcoma / Q000473:pathology / Q000601:surgery*; D008297:Male; D008479:Mediastinal Neoplasms / Q000473:pathology / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods