Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Department of Cardiovascular Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Thorac Cancer. 2024 Mar;15(7):575-577. doi: 10.1111/1759-7714.15188. Epub 2024 Feb 17.
A 63-year-old woman was admitted to our department for the investigation of superior vena cava (SVC) syndrome. Computed tomography revealed an azygos tumor extending into the SVC. Video-assisted thoracic surgery (VATS) was performed to remove the distal end of the azygos vein in the left lateral position, followed by complete resection of the entire tumor under median sternotomy in the supine position. The histological diagnosis was a primary angiosarcoma of the azygos vein. The patient was discharged without any complications and is now alive and tumor-free 24 months after surgery. In addition, contrast-enhanced computed tomography revealed no graft occlusion in the two reconstructed brachiocephalic veins. Thoracoscopic surgery in the lateral position is useful for safe and reliable complete resection of a tumor arising from the azygos vein.
一位 63 岁女性因上腔静脉（SVC）综合征入住我科。计算机断层扫描显示奇静脉肿瘤延伸至 SVC。行胸腔镜手术（VATS）于左侧卧位下切除奇静脉远端，然后于仰卧位正中劈开胸骨下完全切除整个肿瘤。组织学诊断为奇静脉原发性血管肉瘤。患者无任何并发症出院，术后 24 个月无肿瘤存活。此外，增强 CT 显示重建的头臂静脉无移植闭塞。胸腔镜手术侧卧位对于安全可靠地切除奇静脉起源的肿瘤是有用的。
