Treatment of a Patient with a Giant Tumor Anterior Mediastinum


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Abstract

Relevance of this publication due to increased incidence of tumors of the mediastinum. Material and methods A case of diagnosis and treatment of a patient 48 years old with a giant tumor of the anterior mediastinum. For 10 years prior to admission to the hospital the patient routine inspection did not pass. CT scan of the chest revealed a tumor with clear smooth contours, dimensions 21х13х24 see when surgery revealed a tumor ingrowth into the tissue of the lung, vascular sprouting roots of the upper and lower lobes of the lung. There was compression of the lung tissue of the tumor. In this situation the fulfillment of the intervention aimed at tumor removal was impossible. The volume of surgical intervention expanded to pneumonectomy and removal of the tumor. Results and their discussion Complications in the postoperative period were observed. Our case study is descriptive, showing the features of the growth of tumors and diagnosis of malignancy in the mediastinum. Conclusion The development of algorithms for diagnosis and treatment of these patients required further systematization of data. Since the surgery are usually "non-standard" character, and their volume can often defined only intraoperatively, treatment of these patients should be performed in specialized medical institutions with expertise in surgery for tumors of the mediastinum. The optimum is to perform X-ray of the chest 1 times a year and in case of detection of tumor in the mediastinum, carrying a helical computed tomography of the chest in order to clarify the diagnosis

About the authors

Novosibirsk State University, 52 Krasnyi Ave., Novosibirsk, 630091, Russian Federation
Novosibirsk State Regional Clinical Hospital, 130 Nemirovicha-Danchenko Str., Novosibirsk, 630087, Russian Federation

Author for correspondence.
Email: author@vestnik-surgery.com
MD, Professor, Head of the Department of Hospital and Children's Surgery of the Novosibirsk State Medical University.

Novosibirsk State University, 52 Krasnyi Ave., Novosibirsk, 630091, Russian Federation
Novosibirsk State Regional Clinical Hospital, 130 Nemirovicha-Danchenko Str., Novosibirsk, 630087, Russian Federation

Email: evgenyidrob@inbox.ru
 MD, Assistant of the Department of Hospital and Children's Surgery of the Novosibirsk State Medical University, Thoracic Surgion Department of Thoracic Surgery, endoscopist State Novosibirsk Regional Hospital

Novosibirsk State Regional Clinical Hospital, 130 Nemirovicha-Danchenko Str., Novosibirsk, 630087, Russian Federation

Email: author@vestnik-surgery.com
PhD, Assistant of the Department of Hospital and Children's Surgery of the Novosibirsk State Medical University, Thoracic Surgion Department of Thoracic Surgery State Novosibirsk Regional Hospital.

Novosibirsk State University, 52 Krasnyi Ave., Novosibirsk, 630091, Russian Federation
Novosibirsk State Regional Clinical Hospital, 130 Nemirovicha-Danchenko Str., Novosibirsk, 630087, Russian Federation

Email: author@vestnik-surgery.com
Thoracic Surgion Department of Thoracic Surgery State Novosibirsk Regional Hospital.hagin G

References

  1. Gagua R., Kuchava V., Gzirishvili L., Lomidze Z. Diagnostika i rezul'taty khirurgicheskogo lecheniya redkikh gigantskiykh vnutrigrudnykh opukholey. [Diagnostics and results of the surgical treatment of rare giant intrathoracic tumors.] // Surgeri them N.I. Pirogov. 2005; 2: 21–25.
  2. Davydov M.I., Machaladze Z.O., Polotskii B.E. Mezenkhimal'nyye opukholi sredosteniya (obzor). [Mesenchymal tumors of the mediastinum (review).] // Siberian Journal of Oncology. 2008; 1(25): 64–74.
  3. Trakhtenberg A.Kh., Vishnevskii A.A., Kolbanov K.I.,
  4. Golovteev V.V. Opukholi i kisty sredosteniia [Tumors and
  5. cysts of the mediastinum.] // Proc. of International Conf. «40 years thoracic surgery RNTsKh RAMN». 2003; 276—288.
  6. Abi Ghanem M., Habambo G., Bahous J., Chouairy CAbi
  7. Ghanem M., Habambo G., Bahous J., Chouairy C., Abu
  8. Khalil B. Bol'shaya thymolipoma vyzyvayet v pervuyu ochered' distress organov dykhaniya. [Large thymolipoma causing primarily respiratory distress.] // J. Med. Liban. 2012; 2 (60): 106-109.
  9. Asteriou C., Barbetakis N., Kleontas A., Konstantinou D. Gigantskiye mediastinal'nyye teratomy predstavlenniye s paroksizmal'noy fibrillyatsiei predserdiyi. [Giant mediastinal teratoma presenting with paroxysmal atrial fibrillation.] // Interact. Cardiovasc. Thorac. Surg. 2011; 12 (2): 308-310.
  10. Golash V.A Gigantskaya perednyaya mediastinal'naya teratoma predstavlennaia v kachestve ortopnoe i disfagiyi u vzroslogo. [Giant anterior mediastinal teratoma presenting as orthopnea and dysphagia in an adult.] // J. Thorac. Cardiovasc. Surg. 2005; 130 (2): 612-613.
  11. Fazlıoğulları O., Atalan N., Gürer O., Akgün S., Arsan S. Tamponada serdtsa gigantskoyi timomoy: klinicheskiy sluchay. [Cardiac tamponade from a giant thymoma: case report.] J. Cardiothorac. Surg. 2012; 6: 7-14.
  12. Mohan Rao P.S., Moorthy N., Shankarappa R.K., Bhat P.,
  13. Nanjappa M.C. Gigantskaya mediastinal'naya thymolipoma, imitiruysiaia kardiomegaliyu. [Giant mediastinal thymolipoma simulating cardiomegaly.] // J. Cardiol. 54 (2): 326-329.

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