Thoracoscopy-assisted resection for neurofibroma arising from the first intercostal nerve: A case report

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  • Moroga Toshihiko
    Department of Surgery, Fukuoka University Chikushi Hospital
  • Hamatake Daisuke
    Department of Surgery, Fukuoka University Chikushi Hospital
  • Yamamoto Satoshi
    Department of Surgery, Fukuoka University Chikushi Hospital Department of Thoracic Surgery, Medical Kouhoukai Takagi Hospital
  • Yoshida Yasuhiro
    Department of General Thoracic, Breast and Pediatric Surgery, Fukuoka University Hospital
  • Maekawa Takafumi
    Department of Surgery, Fukuoka University Chikushi Hospital
  • Iwasaki Akinori
    Department of General Thoracic, Breast and Pediatric Surgery, Fukuoka University Hospital

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Other Title
  • 胸腔鏡併用下に切除した第1肋間神経由来神経線維腫の1例

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Abstract

<p>We report a case of neurofibroma arising from the right first intercostal nerve resected via subclavicular incision and thoracoscopy. The case was a 15-year-old female who had a family history of neurofibromatosis type 1. She had multiple cafe-au-lait spots on the trunk. She was referred to our hospital because of an abnormal shadow in the right lung on a chest radiograph at a school physical examination. Chest computed tomography showed a 5-cm mass in the right first intercostal space and right pleural effusion. Contrast-enhanced magnetic resonance imaging showed a heterogeneously enhanced mass abutting the right subclavian vein.</p><p>Tumor resection was successfully performed via an approximately 6-cm subclavicular incision and 3 ports for a thoracoscopic approach without clavicectomy and/or sternotomy. The tumor was fixed to the first rib and resected with a part of the first rib. Pathological examination showed neurofibroma. The combination of the thoracoscopic approach and direct approach through subclavicular incision was useful for safe resection of the tumor with clear visualization of the surgical field.</p>

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