Extended extrapleural pneumonectomy by median approach for advanced malignant mesothelioma with right supraclavicular lymph node metastasis--a case report

A 52-year-old woman of diffuse malignant mesothelioma of the right pleura with metastasis to right supraclavicular lymph nodes underwent extended extrapleural right pneumonectomy and neck dissection. For this resection we selected the new approach: median sternotomy with hemi-collar incision. Throug...

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Published in[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai Vol. 42; no. 3; p. 404
Main Authors Murata, S, Kohiyama, R, Tanaka, M, Miyamoto, H, Hata, E
Format Journal Article
LanguageJapanese
Published Japan 01.03.1994
Subjects
Female
Humans
Lymphatic Metastasis
Mesothelioma - pathology
Mesothelioma - surgery
Middle Aged
Neck Dissection
Pleura - surgery
Pleural Neoplasms - pathology
Pleural Neoplasms - surgery
Pneumonectomy - methods
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Summary:A 52-year-old woman of diffuse malignant mesothelioma of the right pleura with metastasis to right supraclavicular lymph nodes underwent extended extrapleural right pneumonectomy and neck dissection. For this resection we selected the new approach: median sternotomy with hemi-collar incision. Through this approach systematical dissection of the cervical-mediastinal lymph nodes was performed together with resection of the right lung, parietal pleura, the pericardium and the diaphragm. As a result of this en bloc resection, she is alive without recurrence for one year after the operation.
ISSN:0369-4739