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due to interference with cardio-respiratory function by the weight of the tumor. Lateral (outward) traction on the tumor mass improved cardiac function and the blood pressure rose to 90/60 while traction was maintained during subsequent dissection. The fifth and seventh ribs were also divided to allow removal of the tumor. The mass appeared to arise from the pericardium with anterior displacement of the left phrenic nerve. A 3 x 4 cm. portion of pericardium was excised with the tumor. There were only loose areolar and small vascular attachments to the mediastinal pleura. His hypotension persisted for one week but he had an otherwise uneventful postoperative course. At follow-up four years later he was asymptomatic with no evidence of recurrence. Grossly the tumor was a smooth pink firm lobulated mass measuring 20 x 20 x 28 cm. and weighed 3050 gin. It was densely calcified and had to be cut with a bone saw. Microscopically the soft tissue showed whorls of fibrous connective tissue containing large distorted ganglion cells, and Bodian stain demonstrated neurites at the periphery. The tumor was coded by the AFIP as a sclerosing ganglioneuroma of the mediastinuin.
収録刊行物
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- Diseases of the Chest
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Diseases of the Chest 31 710-714, 1957-06-01
Elsevier BV