Abstract
Of a total thirteen patients who underwent surgery for a neurogenic tumor in the posterior mediastinum 4 (30.8 per cent) presented with dumbbell type development of the tumor. Along with a comparatively greater incidence in the number of cases of dumbbell neurogenic tumors in the posterior mediastinum, resection has also recently become more popular, necessitating the establishment of a standard operative approach for this type of tumor. We successfully removed dumbbell neurogenic tumor from the posterior mediastinum in our 3 most recent casesvia a dorsal approach by virtue of a laminectomy and resection of a small portion of the neighbouring rib root without opening the parietal pleura at all. These three aptients were a 14 year old female, a 54 year old male and a 68 year old female, respectively, and the largest diameter in cm and level of origin of the tumors were 5.5 at Th 1 in case 1, 3.0 at Th 2 in case 2 and 3.7 at Th 11 in case 3. The operative approach described herein was easy to perform, felt secure and was less invasive and better tolerated by the patients than the thoractomy approach. Avoiding a thoractomy in such cases has many advantages to enumerate, but does not seem to have been clearly aimed at by others to date. We therefore propose our technique as a standard approach for dumbbell neurogenic tumors in the posterior mediastinum.
Similar content being viewed by others
References
Akwari OE, Payne WS, Onofrio BM, Dines DE, Muhm JR. Dumbbell neurogenic tumors of the mediastinum. Diagnosis and management. Mayo Clinic Proceedings 1978; 53: 353–358.
Fukuda T, Fukuno S. A case report of a resected dumbbell neurogenic tumor in the posterior mediastinum. Nippon Kyobu Geka Gakkai Zasshi (J Jpn Assoc Thorac Surg) 1988; 36: 2723. (in Japanese)
Groff RA, Hawthorne HR, Shenkin HA. Transtoracic approach for complete removal of the posterior mediastinal and intravertebral perineural fibroblastoma. J Thorac Surg 1950; 20: 24–27.
Davidson KG, Walbaum PR, McCormack JM. Intrathoracic neural tumors. Thorax 1978; 33: 359–367.
Irger IM, Perelman MI, Koroleva NS, Petukhov SS, Stolypin OV, Chernetsky RI. Surgical tactics in hour-glass tumor of intravertebral-mediastinal localization. ZH Vopr Neirokhir 1980; 5: 3–10.
Grillo HC, Ojemann RG, Scannell JG, Zervas NT. Combiend approach to “Dumbbell” intrathoracic and intraspinal neurogenic tumors. Ann Thorac Surg 1983; 36: 402–407.
Matsushima S, Fujimatsu T, Kodama Y, Shirai Y, Yamate N, Shoji T. A case of dumbbell neurogenic tumor of the posterior mediastinum. Nippon Kyobu Geka Gakkai Zasshi (J Jpn Assoc Thorac Surg) 1986; 34: 380–383. (in Japanese with English Abst.)
Fukata T, Hamasaki T, Fukino S, Kawata T, Okano K, Yukawa K, Kamba S, Ogino R, Atou K. A case of dumbbell neurogenic tumor in the posterior mediastinum. Kyobu Geka (Jpn J Thorac Surg) 1989; 42: 400–403. (in Japanese with English Abst.)
Yamashita R, Kosugi M, Kobayashi C, Toribatake Y, Kitano Y, Annen Y. A case of dumb-bell-like neurilemmoma of the posterior mediastinum. Nippon Kyobu Geka Gakkai Zasshi (J Jpn Assoc Thorac Surg) 1989; 37: 2001–2004. (in Japanese with English Abst.)
Suganuma H, Nakamura H, Sugiyama N, Yamaga T, Yoshino Y, Morio S, Nakamoto S, Kometani Y. A case of dumbbell neurogenic tumors of the mediastinum. Kyobu Geka (Jpn J Thorac Surg) 1989; 42: 827–830. (in Japanese with English Abst.)
Nagai K, Hiyoshi H, Tomono T, Matsshima Y, Amamiya R, Oho K, Hayata Y. One-stage resected case of dumbbell type tumor of the posterior mediastinum. Kyobu Geka (Jpn J Thorac Surg) 1989; 42: 831–834. (in Japanese with English Abst.)
Hashioka K, Uyama T, Nobuhara K, Sumitomo M, Takahashi K, Kimura S, Taniki T, Harada K, Monden Y, Ikata T. Dumbbell type tumor of a erve root treated surgically by Grillo's combined approach. Nippon Kokyuki Geka Gakkai Zasshi (J Jpn Ass Chest Surg) 1988; 2: 280–286. (in Japanese with English Abst.)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Osada, H., Aoki, H., Yokote, K. et al. Dumbbell neurogenic tumor of the mediastinum: A report of three cases undergoing single-staged complete romoval without thoracotomy. The Japanese Journal of Surgery 21, 224–228 (1991). https://doi.org/10.1007/BF02470913
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02470913