Huge thymoma obstructing view of mediastinal cervical vessels

Authors

  • Tomoyuki Nakagiri,

    Corresponding author
    1. Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Suita-City, Osaka, Japan
    • Correspondence

      Tomoyuki Nakagiri, Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, 2-2 (L5), Yamadaoka, Suita-City, Osaka 565-0871, Japan. Tel: +81-6-6879-3152; Fax: +81-6-6879-3164; E-mail: gilly64@thoracic.med.osaka-u.ac.jp

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  • Meinoshin Okumura

    1. Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Suita-City, Osaka, Japan
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Key Clinical Message

The 3D-computed tomography (CT) image helped to make the operation strategy for the resection of huge thymoma obstruction large mediastinal vessels. Even in the rare situation, preoperatively enhanced 3D-CT image is useful for a safe operation.

Introduction

A 61-year-old woman without symptoms had a huge mediastinal mass that obstructed the view of the mediastinal cervical vessels in CT scan images (Fig. 1). The chest CT image showing a huge mass located in the mediastinal region between the right brachiocephalic artery (BA) and vein (BV), and left carotid artery (CA) and innominate vein (A). The vessels were obstructed in both (B) lateral and (C) anterior views. The patient underwent resection with left innominate vein ablation, after which the tumor was diagnosed as thymoma type A1.

Figure 1.

Coronal section of computed tomography (CT) image and 3D-CT image of the huge thymoma: the 3D-CT image helped to make the operation strategy for this operation. Even in the rare situation, preoperatively enhanced 3D-CT image is useful for a safe operation.

Conflict of Interest

None declared.

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