General Thoracic and Cardiovascular Surgery

, Volume 58, Issue 12, pp 654–656 | Cite as

Resection of giant mediastinal liposarcoma using the hemiclamshell incision

  • Masayuki Okuno
  • Masahiro Kawashima
  • Koki Miura
  • Eiji Kadota
  • Shunsuke Goto
  • Motokazu Kato
Case Report

Abstract

A 39-year-old woman who had experienced slight chest discomfort for a few months was referred to our hospital with an abnormal shadow on a regular checkup chest X-ray film. A computed tomography scan revealed a large well-defined mass in close relationship to the great vessels of the anterior mediastinum. Magnetic resonance imaging showed the anterior mediastinal mass, which was about 25 cm in diameter, expanding to the left pleural cavity with heterogeneous intensity. Because of the size and location of the mass, a combination of anterolateral thoracotomy and partial longitudinal median sternotomy-so-called hemiclamshell incision-was chosen, allowing excellent visualization and complete dissection of the giant tumor. The final histopathology of the resected specimen confirmed well-differentiated liposarcoma.

Key words

Liposarcoma Mediastinum Hemiclamshell incision 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Hahn HP, Fletcher CDM. Primary mediastinal liposarcoma: clinicopathologic analysis of 24 cases. Am J Surg Pathol 2007;31:1868–1874.CrossRefPubMedGoogle Scholar
  2. 2.
    Burt M, Ihde JK, Hajdu SI, Smith JW, Bains MS, Downey R, et al. Primary sarcomas of the mediastinum: results of therapy. J Thorac Cardiovasc Surg 1998;115:671–680.CrossRefPubMedGoogle Scholar
  3. 3.
    Schweitzer DL, Aguam AS. Primary liposarcoma of the mediastinum. report of a case and review of the literature. J Thorac Cardiovasc Surg 1977;74:83–97.Google Scholar
  4. 4.
    Klimstra DS, Moran CA, Perino G, Koss MN, Rosai J. Liposarcoma of the anterior mediastinum and thymus. a clinicopathologic study of 28 cases. Am J Surg Pathol 1995;19: 782–791.CrossRefPubMedGoogle Scholar
  5. 5.
    Grewal RG, Prager K, Austin JH, Rotterdam H. Long term survival in non-encapsulated primary liposarcoma of the mediastinum. Thorax 1993;48:1276–1277.CrossRefPubMedGoogle Scholar
  6. 6.
    Punpale A, Pramesh CS, Jambhekar N, Mistry RC. Giant mediastinal liposarcoma: a case report. Ann Thorac Cardiovasc Surg 2006;12:425–427.PubMedGoogle Scholar
  7. 7.
    Hirai S, Hamanaka Y, Mitsui N, Uegami S, Matsumura Y. Surgical resection of primary liposarcoma of the anterior mediastinum. Ann Thorac Cardiovasc Surg 2008;14:38–41.PubMedGoogle Scholar
  8. 8.
    Lardinois D, Sippel M, Gugger M, Dusmet M, Ris HB. Morbidity and validity of the hemiclamshell approach for thoracic surgery. Eur J Cardiothorac Surg 1999;16:194–199.CrossRefPubMedGoogle Scholar

Copyright information

© The Japanese Association for Thoracic Surgery 2010

Authors and Affiliations

  • Masayuki Okuno
    • 1
  • Masahiro Kawashima
    • 1
  • Koki Miura
    • 1
  • Eiji Kadota
    • 2
  • Shunsuke Goto
    • 3
  • Motokazu Kato
    • 3
  1. 1.K. Miura Department of Thoracic SurgeryKishiwada City HospitalOsakaJapan
  2. 2.Department of PathologyKishiwada City HospitalOsakaJapan
  3. 3.Department of Respiratory DiseaseKishiwada City HospitalOsakaJapan

Personalised recommendations