Complete Resection of Mediastinal Undifferentiated Pleomorphic Sarcoma

Ryusuke Sumiya MD, PhD , Takeshi Matsunaga MD, PhD , Mariko Fukui MD, PhD , Takuo Hayashi MD, PhD , Yukio Watanabe MD, PhD , Aritoshi Hattori MD, PhD , Kazuya Takamochi MD, PhD , Kenji Suzuki MD, PhD
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Abstract

A 70-year-old man was referred to our hospital for mediastinal malignant neoplasm. Chest computed tomography revealed a 20-cm mass in the middle mediastinum with displacement of the superior vena cava, left innominate vein, and right upper lobe. Tumor resection, right upper lobectomy, combined resection of the left brachiocephalic vein and superior vena cava, and revascularization were performed. It was pathologically diagnosed as an undifferentiated pleomorphic sarcoma, and the patient experienced no recurrence for 4 years. Although the prognosis of mediastinal pleomorphic sarcoma cases is poor, complete surgical resection may lead to long-term survival.
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纵隔未分化多形性肉瘤完全切除术
一位70岁男性因纵隔恶性肿瘤转诊至我院。胸部计算机断层扫描显示中纵隔20厘米肿块,上腔静脉、左无名静脉和右上肺叶移位。行肿瘤切除、右上肺叶切除、左头臂静脉、上腔静脉联合切除及血运重建术。病理诊断为未分化多形性肉瘤,患者4年无复发。纵隔多形性肉瘤虽然预后较差,但完全手术切除可能导致长期生存。
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