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Preferred surgical approach for dumbbell-shaped tumors in the posterior mediastinum

We present the case of a 67-year-old male smoker with a posterior mediastinal hemangioma. Radiological findings revealed a dumbbell-shaped tumor with a neuroforaminal extension in the right paravertebral space. Under the preoperative diagnosis of a neurogenic tumor, surgery was performed using a combined anterior and posterior approach. During the thoracotomy, the tumor was found to be a hemangioma. We ligated the involved vessels before performing laminectomy, thus ensuring that complete tumor resection was achieved without massive bleeding in the spinal canal. Dumbbell-shaped hemangiomas are rare, and preoperative confirmation of the diagnosis is challenging. Thoracotomy before laminectomy is optimal for the resection of dumbbell-shaped tumors of the mediastinum, especially with marked vascularity, given that the initial thoracotomy procedures facilitate the subsequent laminectomy procedures

Keywords : Aged,blood supply,diagnosis,Hemangioma,Humans,Japan,Laminectomy,Ligation,Magnetic Resonance Imaging,Male,Mediastinal Neoplasms,Mediastinum,pathology,Spinal Canal,surgery,Thoracotomy,Tomography,X-Ray Computed,Treatment Outcome,Vascular Surgical Procedures,, Surgical,Approach,Dumbbellshaped,Tumors, biopsychosocial model definition

Date of Publication : 2011

Authors : Maeda S;Takahashi S;Koike K;Sato M;

Organisation : Department of Thoracic Surgery, Miyagi Cancer Center, Natori, Miyagi, Japan. sumaeda-ths@umin.ac.jp

Journal of Publication : Ann Thorac Cardiovasc Surg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21881328

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