Thoracoscopic resection of primary mediastinal liposarcoma: a case report and literature review
Abstract Background Primary mediastinal liposarcomas (PLMs) are extremely rare. Patients typically present with symptoms caused by tumor size, as the mass can compress surrounding tissues and organs. Here, we report a case of a large primary mediastinal liposarcoma that was successfully resected tho...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03245-1 |
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| author | Yanhui Yang Ji Li Sipeng Cheng Jinyuan Mei Xin Cheng Min Jing Yi Wang |
| author_facet | Yanhui Yang Ji Li Sipeng Cheng Jinyuan Mei Xin Cheng Min Jing Yi Wang |
| author_sort | Yanhui Yang |
| collection | DOAJ |
| description | Abstract Background Primary mediastinal liposarcomas (PLMs) are extremely rare. Patients typically present with symptoms caused by tumor size, as the mass can compress surrounding tissues and organs. Here, we report a case of a large primary mediastinal liposarcoma that was successfully resected thoracoscopically. By reviewing the available literature on mediastinal liposarcomas and sharing perioperative insights, we aim to provide guidance on the diagnosis and surgical management of large mediastinal liposarcomas. Case presentation A 38-year-old male presented to our hospital with complaints of dysphagia after meals. Chest computed tomography (CT) revealed a large space-occupying lesion in the posterior upper mediastinum, and gastroscopy identified esophageal compression without evidence of new growth. The patient underwent thoracoscopic resection, resulting in significant improvement of his dysphagia postoperatively. He experienced no postoperative complications and was discharged one week following surgery. Conclusion The incidence of PLM is very low. Due to the proximity of vital structures such as the vena cava, esophagus, trachea, and subclavian artery, surgical resection presents elevated risks and complexity. While minimally invasive thoracoscopic techniques offer both safety and efficacy, careful preservation of surrounding organs is essential during the procedure. |
| format | Article |
| id | doaj-art-b5a12c7b917b46c2a225796afcfb14a0 |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-b5a12c7b917b46c2a225796afcfb14a02025-01-12T12:38:58ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011610.1186/s13019-024-03245-1Thoracoscopic resection of primary mediastinal liposarcoma: a case report and literature reviewYanhui Yang0Ji Li1Sipeng Cheng2Jinyuan Mei3Xin Cheng4Min Jing5Yi Wang6Department of Cardiothoracic Surgery, The First People’s Hospital of NeijiangDepartment of Cardiothoracic Surgery, The First People’s Hospital of NeijiangDepartment of Cardiothoracic Surgery, The First People’s Hospital of NeijiangSchool of Clinical Medicine, Southwest Medical UniversityDepartment of Cardiothoracic Surgery, The First People’s Hospital of NeijiangDepartment of Pathology, The First People’s Hospital of Neijiang, Neijiang Affiliated Hospital of Chongqing Medical UniversityDepartment of Cardiothoracic Surgery, The First People’s Hospital of NeijiangAbstract Background Primary mediastinal liposarcomas (PLMs) are extremely rare. Patients typically present with symptoms caused by tumor size, as the mass can compress surrounding tissues and organs. Here, we report a case of a large primary mediastinal liposarcoma that was successfully resected thoracoscopically. By reviewing the available literature on mediastinal liposarcomas and sharing perioperative insights, we aim to provide guidance on the diagnosis and surgical management of large mediastinal liposarcomas. Case presentation A 38-year-old male presented to our hospital with complaints of dysphagia after meals. Chest computed tomography (CT) revealed a large space-occupying lesion in the posterior upper mediastinum, and gastroscopy identified esophageal compression without evidence of new growth. The patient underwent thoracoscopic resection, resulting in significant improvement of his dysphagia postoperatively. He experienced no postoperative complications and was discharged one week following surgery. Conclusion The incidence of PLM is very low. Due to the proximity of vital structures such as the vena cava, esophagus, trachea, and subclavian artery, surgical resection presents elevated risks and complexity. While minimally invasive thoracoscopic techniques offer both safety and efficacy, careful preservation of surrounding organs is essential during the procedure.https://doi.org/10.1186/s13019-024-03245-1LiposarcomaMediastinumThoracoscopic |
| spellingShingle | Yanhui Yang Ji Li Sipeng Cheng Jinyuan Mei Xin Cheng Min Jing Yi Wang Thoracoscopic resection of primary mediastinal liposarcoma: a case report and literature review Journal of Cardiothoracic Surgery Liposarcoma Mediastinum Thoracoscopic |
| title | Thoracoscopic resection of primary mediastinal liposarcoma: a case report and literature review |
| title_full | Thoracoscopic resection of primary mediastinal liposarcoma: a case report and literature review |
| title_fullStr | Thoracoscopic resection of primary mediastinal liposarcoma: a case report and literature review |
| title_full_unstemmed | Thoracoscopic resection of primary mediastinal liposarcoma: a case report and literature review |
| title_short | Thoracoscopic resection of primary mediastinal liposarcoma: a case report and literature review |
| title_sort | thoracoscopic resection of primary mediastinal liposarcoma a case report and literature review |
| topic | Liposarcoma Mediastinum Thoracoscopic |
| url | https://doi.org/10.1186/s13019-024-03245-1 |
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