A Transmanubrial Approach for Malignant Peripheral Nerve Sheath Tumor of the Superior Sulcus

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  • Tashiro Naoko
    Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Ishibashi Hironori
    Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Takasaki Chihiro
    Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Kakuta Satoru
    Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Akashi Takumi
    Department of Pathology, Tokyo Medical and Dental University Hospital
  • Kobayashi Masashi
    Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
  • Okubo Kenichi
    Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University

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Other Title
  • Transmanubrial approachにより摘出した上肺溝部悪性末梢神経鞘腫の1例

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Abstract

<p>Background. Preservation of the nerve and shoulder joint function is important in patients who undergo excision of superior sulcus tumors. Case. A 25-year-old woman diagnosed with neurofibromatosis type 1 in childhood presented with a 1-year history of left shoulder dullness. The shoulder pain worsened, and chest computed tomography revealed a tumor (51×42 mm) originating from the left superior sulcus. Magnetic resonance imaging revealed that the tumor had increased in size from 35 to 51 mm within a year. The tumor was successfully excised via a transmanubrial approach under electrophysiological monitoring without any brachial plexus injury. A histopathological evaluation indicated a malignant peripheral nerve sheath tumor. We observed no postoperative complications, including neurological injury. The patient was followed up and showed no recurrence over 2 years. Conclusion. We recommend the transmanubrial approach as a valuable operative procedure for excision of nerve sheath tumors originating from the superior sulcus. Notably, electrophysiological monitoring is important to avoid peripheral nerve injuries.</p>

Journal

  • Haigan

    Haigan 61 (3), 195-200, 2021-06-20

    The Japan Lung Cancer Society

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