Academic Journal
Supraclavicular-median sternotomy approach for a large neurilemmoma invading the thoracic outlet: a case report and review of the literature
| Title: | Supraclavicular-median sternotomy approach for a large neurilemmoma invading the thoracic outlet: a case report and review of the literature |
|---|---|
| Authors: | Jingru Wu, Mo Shi, Xiangyan Liu |
| Source: | Journal of Cardiothoracic Surgery, Vol 19, Iss 1, Pp 1-5 (2024) |
| Publisher Information: | BMC, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Surgery LCC:Anesthesiology |
| Subject Terms: | Supraclavicular-median sternotomy, Neurilemmoma, Thoracic outlet, Surgical approach, Surgery, RD1-811, Anesthesiology, RD78.3-87.3 |
| More Details: | Abstract Background Large mediastinum tumors invading the thoracic outlet have consistently been a challenge in thoracic surgery. Due to the large size of the tumor and its proximity to many important tissues, appropriate surgical approaches are crucial for a successful surgery. Case presentations Here, we present a case of a large neurilemmoma that invaded the thoracic outlet that was resected by a supraclavicular-median sternotomy approach. The case was a 58-year-old woman with a large mass in the right chest cavity that had invaded the thoracic outlet. The preoperative biopsy showed a blood clot with a few fibrous connective tissues covered by a single layer of flat epithelium. There was insufficient evidence to diagnose the mass as a tumor, and imaging examinations suggested a diagnosis of solitary pleural fibroma. For good exposure of the cranial and caudal aspects of the large mass, we devised a median sternotomy combined with a supraclavicular approach and safely achieved complete resection. The patient recovered well and experienced no severe complications or functional restrictions of the upper extremity. The postoperative pathology diagnosis was a neurilemmoma. Conclusions The supraclavicular-median sternotomy approach could be an optional approach for the complete resection of large mediastinal tumors invading the thoracic outlet. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1749-8090 |
| Relation: | https://doaj.org/toc/1749-8090 |
| DOI: | 10.1186/s13019-024-03050-w |
| Access URL: | https://doaj.org/article/8666c16444714eef815ac101230d8e0b |
| Accession Number: | edsdoj.8666c16444714eef815ac101230d8e0b |
| Database: | Directory of Open Access Journals |
| Full text is not displayed to guests. | Login for full access. |
| ISSN: | 17498090 |
|---|---|
| DOI: | 10.1186/s13019-024-03050-w |
| Published in: | Journal of Cardiothoracic Surgery |
| Language: | English |