Mori Hiroki, Nose Naohiro, Hamahiro Tomoka, Shimao Yoshiya, Tomita Masaki, Furukawa Koji
Department of General Thoracic Surgery, Miyazaki Prefectural Nobeoka Hospital, Miyazaki, Japan.
Department of Pathology, Miyazaki Prefectural Nobeoka Hospital, Miyazaki, Japan.
J Surg Case Rep. 2022 Jun 7;2022(6):rjac262. doi: 10.1093/jscr/rjac262. eCollection 2022 Jun.
Diaphragmatic hemangiomas are rare tumors and the preferred resection range in surgical procedures is considered on a case-by-case basis. We report a case of diaphragmatic hemangioma that was completely resected by partial diaphragmatic resection. An 81-year-old man was referred for the examination of right diaphragmatic mass. Computed tomography revealed two contrast-enhanced nodules (diameter: 17 and 10 mm, respectively) on the right diaphragm. The nodules were completely resected by partial resection of the diaphragm via video-assisted thoracic surgery using an ultrasonic coagulation and incision device. Resection was performed leaving part of the muscular layer of the diaphragm. Histopathology confirmed the nodule to be hemangioma originating from the diaphragm and no hemangiomatous lesions were noted in the normal connective tissue in the resected stump. Partial diaphragmatic resection is a less invasive treatment method and may be a useful surgical procedure for diaphragmatic hemangioma.
膈肌血管瘤是罕见肿瘤，手术中首选的切除范围需根据具体病例确定。我们报告一例通过部分膈肌切除术完全切除的膈肌血管瘤病例。一名81岁男性因检查右侧膈肌肿物前来就诊。计算机断层扫描显示右侧膈肌有两个强化结节（直径分别为17毫米和10毫米）。通过使用超声凝固和切割装置的电视辅助胸腔镜手术对膈肌进行部分切除，将结节完全切除。切除时保留了部分膈肌肌层。组织病理学证实结节为起源于膈肌的血管瘤，在切除残端的正常结缔组织中未发现血管瘤性病变。部分膈肌切除术是一种侵入性较小的治疗方法，可能是治疗膈肌血管瘤的一种有用的手术方式。
