Resection of a Large Growing Mediastinal Germ Cell Tumor Using a Multidisciplinary Approach

被引:0
|
作者
Greene, Alison [1 ]
Wood, Lori [2 ]
Champion, Philip [3 ]
Castonguay, Mathieu [4 ]
Scheffler, Matthias [5 ]
Deshaies, Catherine [1 ]
Wood, Jeremy [1 ]
French, Daniel [6 ]
机构
[1] Dalhousie Univ, Queen Elizabeth Hosp 2, Dept Surg, Div Cardiac Surg, Halifax, NS B3H 2Y9, Canada
[2] Dalhousie Univ, Queen Elizabeth Hosp 2, Dept Med, Div Med Oncol, Halifax, NS B3H 2Y9, Canada
[3] Dalhousie Univ, Queen Elizabeth Hosp, Dept Med, Div Med Oncol, Charlottetown, PE C1A 8T5, Canada
[4] Dalhousie Univ, Queen Elizabeth Hosp 2, Dept Pathol, Halifax, NS B3H 2Y9, Canada
[5] Dalhousie Univ, Queen Elizabeth Hosp 2, Dept Anesthesia Pain Management & Perioperat Med, Div Cardiac Anesthesia, Halifax, NS B3H 2Y9, Canada
[6] Dalhousie Univ, Queen Elizabeth Hosp 2, Dept Surg, Div Thorac Surg, Halifax, NS B3H 2Y9, Canada
关键词
germ cell tumor; rhabdomyosarcoma; transsternal resection;
D O I
10.3390/curroncol31010003
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Mediastinal germ cell tumors (GCTs) are rare. Post-chemotherapy residual masses in patients with a nonseminomatous GCT require resection. A patient with a large mediastinal GCT involving the left subclavian artery, superior vena cava (SVC) and hilum of the right lung is presented. Despite a biochemical response to chemotherapy, the tumor enlarged on serial imaging. With guidance from medical oncology, a multidisciplinary surgical team, including cardiac anesthesia, cardiac surgery and thoracic surgery resected the tumor with a staged reconstruction of the SVC. The procedure was well tolerated and yielded clear margins. The final pathology showed a significant associated component of rhabdomyosarcoma.
引用
收藏
页码:42 / 49
页数:8
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