Giant thymoma successfully resected via anterolateral thoracotomy: a case report.
The appropriate surgical approach for a large mediastinal tumor is controversial. Median sternotomy is the standard approach for thymomas. We herein report the case of a giant thymoma, 13 cm in diameter, surgically resected via anterolateral incision. Subsequent thymectomy was performed via thoracoscopy. The resected specimen was a WHO type AB thymoma, Masaoka stage I, without capsular invasion. The anterolateral incision was less invasive and more versatile in the present case, as the incision could be extended to a hemiclamshell or posterolateral incision depending on exposure and relationship to adjacent organs and vascular structures.
Division of Chest Surgery, Toho University School of Medicine, Tokyo, Japan. takahiro.saitou@med.toho-u.ac.jp.
Takahiro
T
Saito
Division of Chest Surgery, Toho University School of Medicine, Tokyo, Japan. takashi.makino@med.toho-u.ac.jp.
Takashi
T
Makino
Division of Chest Surgery, Toho University School of Medicine, Tokyo, Japan. hata@med.toho-u.ac.jp.
Yoshinobu
Y
Hata
Division of Chest Surgery, Toho University School of Medicine, Tokyo, Japan. satoshi.koezuka@med.toho-u.ac.jp.
Satoshi
S
Koezuka
Division of Chest Surgery, Toho University School of Medicine, Tokyo, Japan. hajime.ootsuka@med.toho-u.ac.jp.
Hajime
H
Otsuka
Division of Respiratory Medicine, Toho University School of Medicine, Tokyo, Japan. kazutoshiisobe@med.toho-u.ac.jp.
Kazutoshi
K
Isobe
Department of Surgical Pathology, Toho University School of Medicine, Tokyo, Japan. naobumi.tochigi@med.toho-u.ac.jp.
Naobumi
N
Tochigi
Department of Surgical Pathology, Toho University School of Medicine, Tokyo, Japan. kaz@med.toho-u.ac.jp.
Kazutoshi
K
Shibuya
Division of Respiratory Medicine, Toho University School of Medicine, Tokyo, Japan. sahomma@med.toho-u.ac.jp.
Sakae
S
Homma
Division of Chest Surgery, Toho University School of Medicine, Tokyo, Japan. aiyoda@med.toho-u.ac.jp.
Akira
A
Iyoda
D006801:Humans; D008297:Male; D008875:Middle Aged; D013908:Thoracotomy / Q000379:methods*; D013934:Thymectomy / Q000379:methods; D013945:Thymoma / Q000601:surgery*; D013953:Thymus Neoplasms / Q000601:surgery*; D016896:Treatment Outcome