{"title":"纵隔未分化多形性肉瘤完全切除术","authors":"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","doi":"10.1016/j.atssr.2024.09.019","DOIUrl":null,"url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 225-228"},"PeriodicalIF":0.0000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Complete Resection of Mediastinal Undifferentiated Pleomorphic Sarcoma\",\"authors\":\"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\",\"doi\":\"10.1016/j.atssr.2024.09.019\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>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.</div></div>\",\"PeriodicalId\":72234,\"journal\":{\"name\":\"Annals of thoracic surgery short reports\",\"volume\":\"3 1\",\"pages\":\"Pages 225-228\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of thoracic surgery short reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772993124003802\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of thoracic surgery short reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772993124003802","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Complete Resection of Mediastinal Undifferentiated Pleomorphic Sarcoma
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.