Kamimura Ryosuke, Matsumoto Takanori, Ikeuchi Masaya, Sakamoto Toshihiko
Department of Thoracic Surgery, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji, Japan.
Kyobu Geka. 2024 Jun;77(6):428-431.
An 84-year-old woman was referred to our department with an abnormal mass detected on a chest computed tomography (CT) scan. The CT scan revealed a tumor between the sternum and the right ventricle, fed by the left internal thoracic artery. Multiple hepatic nodules were also observed. An ultrasound-guided biopsy was performed on the liver nodule, which was diagnosed as a solitary fibrous tumor. The tumor was compressing the heart, and the patient was at risk of sudden death, therefore, a decision was made to resect tumor. Preoperative embolization of the left internal thoracic artery was performed to prevent massive intraoperative bleeding. The tumor was resected via a median sternotomy approach. Intraoperatively, feeding vessels entering the tumor from the diaphragm were also identified. Total blood loss was 70 ml. The postoperative course was uneventful.
一位84岁女性因胸部计算机断层扫描（CT）发现异常肿块而转诊至我科。CT扫描显示胸骨与右心室之间有一个肿瘤，由左胸廓内动脉供血。还观察到多个肝结节。对肝结节进行了超声引导下活检，诊断为孤立性纤维瘤。肿瘤压迫心脏，患者有猝死风险，因此决定切除肿瘤。术前对左胸廓内动脉进行栓塞以防止术中大量出血。通过正中胸骨切开术入路切除肿瘤。术中还发现有从膈肌进入肿瘤的供血血管。总失血量为70毫升。术后病程顺利。
