A Case of Invasive Thymoma Projecting into the Lumen of Superior Vena Cava Without Intimal Invasion

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  • Tsunezuka Yoshio
    Department of General Thoracic Surgery, Ishikawa Prefectural Central Hospital
  • Saitoh Daisuke
    Department of General Thoracic Surgery, Ishikawa Prefectural Central Hospital
  • Waseda Ryu-ichi
    Department of General Thoracic Surgery, Ishikawa Prefectural Central Hospital
  • Yachi Tsuyoshi
    Department of General Thoracic Surgery, Ishikawa Prefectural Central Hospital
  • Shimizu Yosuke
    Department of General Thoracic Surgery, Ishikawa Prefectural Central Hospital
  • Kobayashi Takeshi
    Department of Radiology, Ishikawa Prefectural Central Hospital
  • Katayanagi Kazuyoshi
    Department of Pathology (Adviser of Pathological Findings), Ishikawa Prefectural Central Hospital
  • Kurumaya Hiroshi
    Department of Pathology (Adviser of Pathological Findings), Ishikawa Prefectural Central Hospital

Bibliographic Information

Other Title
  • 上大静脈に有茎性内腔進展した浸潤性胸腺腫の１切除例

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Abstract

57歳，男性．重症筋無力症合併浸潤性胸腺腫症例．腫瘍は右肺，心膜浸潤の他に胸腺静脈を介して有茎性に上大静脈内へ発育·進展していた．手術は拡大胸腺-胸腺腫摘出術+右肺上葉合併切除+心膜合併切除および血管内腫瘍摘出術とした．血管内腫瘍は先端が肥大した巨大マッチ棒状の形態で，被膜に覆われ上大静脈内膜への浸潤·癒着は認められなかった．人工血管置換なしに左右腕頭静脈および上大静脈を遮断し，左腕頭静脈壁とともに容易に摘出し得た．本症例は腫瘍が胸腺静脈を介して上大静脈内腔へ発育した貴重な症例と考えられた．<br>

Journal

  • Haigan

    Haigan 49 (2), 220-221, 2009

    The Japan Lung Cancer Society

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