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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kaseda, Kaoru Anraku, Masaki Goto, Taichiro Ohtsuka, Takashi Kohno, Mitsutomo Izumi, Yotaro Hayashi, Yuichiro Nomori, Hiroaki |
| Description | Country affiliation: Japan Author Affiliation: Kaseda K ( Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, Tokyo 160-8582, Japan. kaseda@wb4.so-net.ne.jp) |
| Abstract | We report a case of 51-year-old woman with a severely airway-obstructing leiomyoma who underwent successful tracheal resection. A preoperative tumor biopsy was avoided not to cause any risk of suffocation. At surgery, an endotracheal intubation distal to the tumor was achieved with a bronchoscopic guidance. A segmental resection of the trachea with a primary end-to-end anastomosis was performed via a half-splitting median sternotomy. Negative surgical margins for tumor were confirmed intraoperatively. Final pathological diagnosis was a primary tracheal leiomyoma. Definitive surgical resection is a treatment of choice for such airway-obstructing, wide-based leiomyoma. Although a bronchoscopic removal of the tumor is an alternative choice, the risks of suffocation, positive surgical margins, and perforation of the trachea need to be carefully discussed if it is considered. |
| File Format | HTM / HTML |
| ISSN | 18636705 |
| Issue Number | 8 |
| Volume Number | 61 |
| e-ISSN | 18636713 |
| Journal | General Thoracic and Cardiovascular Surgery |
| Language | English |
| Publisher | Springer |
| Publisher Date | 2013-08-01 |
| Publisher Place | Japan |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Cardiology Airway Obstruction Surgery Leiomyoma Trachea Tracheal Neoplasms Etiology Female Humans Complications Diagnosis Middle Aged Pathology Case Reports Journal Article |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine |
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