Vannucci Jacopo, Pecoriello Roberta, Ragusa Mark, Puma Francesco
Thoracic Surgery Unit, University of Perugia Medical School, Ospedale S. Maria della Misericordia, Perugia, Italy.
Interact Cardiovasc Thorac Surg. 2010 Nov;11(5):696-7. doi: 10.1510/icvts.2010.246322. Epub 2010 Aug 18.
The case of a 49-year-old man with multiple pleuropericardial implants of B2 thymoma is reported. Two years earlier, the patient had undergone left videothoracoscopic (VATS) resection of a 6-cm thymoma in another hospital. The operative report describes a technically correct procedure with morcellation of the lesion within a retrieval thoracoscopic bag. Through a standard thoracotomy, 11 implants were resected with macroscopically complete tumor removal. The origin of cell spillage was ascribed to manipulation of the thymoma during VATS resection.
报告了一例49岁男性患者,其患有B2型胸腺瘤并伴有多处胸膜心包种植转移。两年前,该患者在另一家医院接受了左侧电视胸腔镜手术(VATS)切除一个6厘米的胸腺瘤。手术报告描述该手术技术操作正确,病变在胸腔镜取出袋内被切碎。通过标准开胸手术,切除了11处种植转移灶,肉眼下肿瘤完全切除。细胞播散的起源归因于VATS切除胸腺瘤过程中的操作。