Cervicomediastinal lipoma resected by a combination of thoracoscopy and cervical incision : a case report Yojiro MAKINO 1 , Yasufumi KATO 1 , Hisashi SAJI 1 , Naohiro KAJIWARA 1 , Tatsuo OHIRA 1 , Norihiko IKEDA 1 1First Department of Surgery, Tokyo Medical University Keyword: 襟状切開 , 頸縦隔型脂肪腫 , 胸腔鏡 pp.465-470
Published Date 2013/7/15
DOI https://doi.org/10.11477/mf.4426100969
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An abnormal shadow in the right upper mediastinum was detected by chest X-ray in a 35-year-old man. Chest CT and MRI revealed a lipomatous and homogeneous tumor located in the right upper-middle mediastinum and an operation was performed. First, we performed a cervical approach and detached the tumor from the thyroid. We then performed a complete resection of the tumor by video-assisted thoracic surgery(VATS). The pathological diagnosis of the resected specimen revealed cervicomediastinal lipoma. In this case the tumor extended to the neck. The combination of cervical and thoracoscopic approaches was efficacious in the present case of cervicomediastinal tumor.

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