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Intra-thoracic desmoid tumour in a patient with a previous aortocoronary bypass.
- Source :
-
World journal of surgical oncology [World J Surg Oncol] 2006 Jul 10; Vol. 4, pp. 43. Date of Electronic Publication: 2006 Jul 10. - Publication Year :
- 2006
-
Abstract
- Background: Intra-thoracic desmoid tumours with mediastinal invasion are very rare. Although rare they have to be taken into account in the differential diagnosis of a thoracic mass and therapeutic options have to be weighted since surgical treatment may require wide excision.<br />Case Presentation: A 48-year-old male diabetic, dyslipidaemic, former heavy smoker with psychiatric illness was operated by sternotomy for a triple aorto-coronary bypass 4 years before, presented with complains of recent onset such as constant and oppressive chest pain. At surgery a mass extending from the aortic arch into the entire anterior mediastinum and to most of the right pleural cavity was found. The mass was separated from sternal periosteum and vessels of aorto-coronary by pass were isolated starting from the aortic arch up to the pericardium. The histological examination revealed aggressive fibromatosis.<br />Conclusion: Although technically demanding, radical surgical excision is actually the most indicated therapeutic approach for intra-thoracic desmoid tumours.
Details
- Language :
- English
- ISSN :
- 1477-7819
- Volume :
- 4
- Database :
- MEDLINE
- Journal :
- World journal of surgical oncology
- Publication Type :
- Academic Journal
- Accession number :
- 16831227
- Full Text :
- https://doi.org/10.1186/1477-7819-4-43