纵隔大面积复发间皮瘤的抢救性减容手术及胸内高温化疗。

IF 1.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Interactive cardiovascular and thoracic surgery Pub Date : 2022-06-15 DOI:10.1093/icvts/ivac034

Shi Sum Poon, Caterina Alberti, Marco Nardini, Marcello Migliore

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引用次数: 0

摘要

摘要纵隔恶性胸膜间皮瘤有填塞征象是罕见的。复发性恶性胸膜间皮瘤的再手术指征是一个有争议但可行的选择。我们报告一个68岁的男性，以上皮样恶性胸膜间皮瘤，接受了三次减体积手术(胸膜切除/去皮)，并结合胸内高温化疗。第一次手术五年后，第三次紧急手术是由于复发的大纵隔间皮瘤引起心包收缩和填塞的急性症状。患者自第一次治疗以来存活了8年，第二次再手术后存活了36个月。

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Salvage debulking surgery and hyperthermic intrathoracic chemotherapy for massive recurrent mesothelioma in the mediastinum.

Mediastinal malignant pleural mesothelioma with signs of tamponade is rare. Indication for reoperation for recurrent malignant pleural mesothelioma is a controversial but viable option in selected patients. We report a case of a 68-year-old man presenting with epithelioid malignant pleural mesothelioma who underwent a total of three debulking surgeries (pleurectomy/decortication) combined with hyperthermic intrathoracic chemotherapy. Five years after the first procedure, a third urgent operation was performed for recurrence of a large mediastinal mesothelioma causing acute symptoms of pericardial constriction and tamponade. The patient was alive for eight years since the first treatment and 36 months after the second reoperation.

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来源期刊

Interactive cardiovascular and thoracic surgery CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

3.30

自引率

0.00%

发文量

292

审稿时长

2-4 weeks

期刊介绍： Interactive CardioVascular and Thoracic Surgery (ICVTS) publishes scientific contributions in the field of cardiovascular and thoracic surgery, covering all aspects of surgery of the heart, vessels and the chest. The journal publishes a range of article types including: Best Evidence Topics; Brief Communications; Case Reports; Original Articles; State-of-the-Art; Work in Progress Report.