Department of Otolaryngology, Head and Neck Surgery, Northwestern Memorial Hospital, Chicago, IL, USA.
Ann Thorac Surg. 2011 Oct;92(4):1499-501. doi: 10.1016/j.athoracsur.2011.02.051.
We report a case of a rare, large mediastinal liposarcoma diagnosed in a 74-year-old woman after a syncopal episode. Chest roentgenogram and computed tomographic scan showed a large mass occupying most of the right chest and abutting the great vessels and pericardium. A thoracoscopic approach was used for exploration and surgical excision of this large mediastinal mass. Despite the large size of the mass, the thoracoscopic approach offered excellent visualization of all the mass attachments and required only a small extension of the access incision for tumor removal. The mass was a well-differentiated liposarcoma, which was completely resected with clear margins. The patient remains disease-free almost 3 years after the resection.
我们报告了一例罕见的、巨大的纵隔脂肪肉瘤，该病例发生于一名 74 岁女性晕厥后。胸部 X 线和 CT 扫描显示一个巨大的肿块占据了右侧胸部的大部分，并紧贴大血管和心包。我们采用胸腔镜方法对这个巨大的纵隔肿块进行探查和手术切除。尽管肿块巨大，但胸腔镜方法提供了所有肿块附着处的良好可视化效果，仅需对进入切口进行小范围扩展即可切除肿瘤。该肿块为高分化脂肪肉瘤，整块完全切除，切缘清晰。患者在切除后近 3 年仍无疾病复发。
