Thoracoscopy-Assisted Removal of a Giant Thymolipoma in Patient With Reduced Respiratory Function
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- Usui Hidehito
- Department of Surgery, Kanagawa Children’s Medical Center Department of Surgery, Yokohama City University
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- Kitagawa Norihiko
- Department of Surgery, Kanagawa Children’s Medical Center
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- Shinkai Masato
- Department of Surgery, Kanagawa Children’s Medical Center
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- Mochizuki Kyoko
- Department of Surgery, Kanagawa Children’s Medical Center
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- Yagi Yuuma
- Department of Surgery, Kanagawa Children’s Medical Center
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- Kawakita Issei
- Department of Surgery, Kanagawa Children’s Medical Center
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- Tsuzuki Yukihiro
- Department of Surgery, Kanagawa Children’s Medical Center
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- Sinohara Shota
- Department of Surgery, Kanagawa Children’s Medical Center
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- Kido Tetsuo
- Department of Respiratory Surgery, Nanko Hospital
Bibliographic Information
- Other Title
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- 呼吸機能低下を呈し,胸腔鏡補助下に摘出した巨大胸腺脂肪腫の1例
- コキュウ キノウ テイカ オ テイシ,キョウコウキョウ ホジョ カ ニ テキシュツ シタ キョダイ キョウセン シボウ シュ ノ 1レイ
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Description
<p>A thymolipoma is a rare benign tumor of the anterior mediastinum, which is usually asymptomatic and incidentally identified. Here, we report a case of a giant thymolipoma in a patient with reduced lung capacity in the course of seven years. An 11-year-old girl had been diagnosed with thymic hyperplasia by open biopsy and followed up with imaging evaluation for seven years. She visited our hospital owing to her family’s relocation to our city. Although it was asymptomatic, a close examination was performed as the tumor tended to grow, albeit slowly. MRI showed that it was composed of a mixture of thymus-like soft tissue components and fat components, suggestive of a thymolipoma. Her % lung capacity had decreased to 70%, and a tumor resection was planned. We approached the tumor through the bilateral thoracic cavity with the patient in the supine position. After thoracoscopic dissection of the thymic vein, the tumor was divided and resected through a bilateral axillary incision, resulting in a safe and minimally invasive resection. Respiratory function test results were normalized after six months, and the patient remains under observation without recurrence at two years postoperatively.</p>
Journal
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- Journal of the Japanese Society of Pediatric Surgeons
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Journal of the Japanese Society of Pediatric Surgeons 57 (5), 873-877, 2021-08-20
The Japanese Society of Pediatric Surgeons
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Details 詳細情報について
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- CRID
- 1390289145417406464
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- NII Article ID
- 130008077020
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- NII Book ID
- AN00192281
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- ISSN
- 21874247
- 0288609X
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- NDL BIB ID
- 031685558
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed