单切口端口机器人辅助手术切除胸腺癌性类癌肿瘤。
Single-incision port robot-assisted surgery for thymic carcinoid tumor resection.
机构信息
Department of Thoracic Surgery, School of Medicine, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
Department of Surgical Pathology, School of Medicine, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.
出版信息
J Cardiothorac Surg. 2022 May 3;17(1):90. doi: 10.1186/s13019-022-01847-1.
BACKGROUND
Multiple endocrine neoplasia (MEN) is divided into MEN type 1 (MEN-1) and MEN type 2 (MEN-2). MEN-1 may be associated with thymic carcinoid tumors. We present a case of the surgical removal of a thymic carcinoid associated with MEN-1 via a single-incision port RATS.
CASE PRESENTATION
A 39-year-old male patient with multiple endocrine neoplasia type 1 (MEN-1) who had an anterior mediastinal mass was referred to our hospital. The patient had undergone total parathyroidectomy and auto-transplantation of a partial parathyroid for hyperparathyroidism 6 years ago. Chest computed tomography revealed an isolated anterior mediastinal mass on the thymic gland with a maximum diameter measuring 22 mm. Thymic carcinoid tumor is classified as MEN-1 and has a poor prognosis, so we decided to remove the tumor. Single-incision port RATS was performed, and thymic carcinoid was confirmed in pathology.
CONCLUSIONS
This report demonstrates that thymic carcinoid tumor removal is feasible and easy to perform via single-incision port RATS.
背景
多发性内分泌肿瘤（MEN）分为 1 型（MEN-1）和 2 型（MEN-2）。MEN-1 可能与胸腺癌有关。我们报告了一例经单切口端口机器人辅助手术（RATS）切除与 MEN-1 相关的胸腺癌病例。
病例介绍
一名 39 岁男性患者，患有多发性内分泌肿瘤 1 型（MEN-1），有前纵隔肿块，被转介至我院。患者 6 年前因甲状旁腺功能亢进症接受了甲状旁腺全切除术和部分甲状旁腺的自体移植。胸部计算机断层扫描显示前纵隔胸腺区孤立性肿块，最大直径 22mm。胸腺癌属于 MEN-1，预后不良，因此我们决定切除肿瘤。行单切口端口 RATS，病理证实为胸腺癌。
结论
本报告表明，经单切口端口 RATS 切除胸腺癌是可行且易于操作的。
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