General Thoracic and Cardiovascular Surgery

, Volume 67, Issue 10, pp 894–896 | Cite as

Resection of a plasma cell granuloma combining a conventional posterolateral left-sided thoracotomy with a minimally invasive valve approach

  • John-Peder Escobar KvittingEmail author
  • Ulf Hermansson
  • Ingemar Vanhanen
Case Report


Plasma cell granuloma (PCG) is a rare benign tumor that is difficult to differentiate from malignancy. Depending on the location of the PCG, surgical management can be challenging. We describe a patient with a PCG involving the left lower lobe extending into the left atrium, that was resected en bloc using a conventional posterolateral thoracotomy combined with a surgical approach predominantly used for minimally invasive mitral valve surgery. This case illustrates how it is possible to utilize a technique used for cardiac surgery for tumors of pulmonary origin involving the heart.


Plasma Cell Granuloma Posterolateral thoracotomy Minimally invasive valve surgery Lobectomy 


Compliance with ethical standards

Conflict of interest

The authors have declared that no conflict of interest exists.


  1. 1.
    Dahabreh J, Zisis C, Arnogiannaki N, Katis K. Inflammatory pseudotumor: a controversial entity. Eur J Cardiothorac Surg. 1999;16:670–3.CrossRefGoogle Scholar
  2. 2.
    Cerfolio RJ, Allen MS, Nascimento AG, et al. Inflammatory pseudotumors of the lung. Ann Thorac Surg. 1999;67:933–6.CrossRefGoogle Scholar
  3. 3.
    Lin PJ, Chang CH, Chu JJ, et al. Video-assisted mitral valve operations. Ann Thorac Surg. 1996;61:1781–6.CrossRefGoogle Scholar
  4. 4.
    Rose AG, McCormick S, Cooper K, Titus JL. Inflammatory pseudotumor (plasma cell granuloma) of the heart. Report of two cases and literature review. Arch Pathol Lab Med. 1996;120:549–54.PubMedGoogle Scholar
  5. 5.
    Wallace ZS, Mattoo H, Carruthers M, et al. Plasmablasts as a biomarker for IgG4-related disease, independent of serum IgC4 concentrations. Ann Rheum Dis. 2015;74:190–5.CrossRefGoogle Scholar

Copyright information

© The Japanese Association for Thoracic Surgery 2018

Authors and Affiliations

  • John-Peder Escobar Kvitting
    • 1
    • 2
    Email author
  • Ulf Hermansson
    • 2
  • Ingemar Vanhanen
    • 2
  1. 1.Department of Cardiothoracic SurgeryOslo University Hospital, RikshospitaletOsloNorway
  2. 2.Department of Cardiothoracic SurgeryLinköping University HospitalLinköpingSweden

Personalised recommendations