Diagnosis and surgical treatment of giant intrathoracic solid tumors

• Published in: Zhōnghuá zhŏngliú zázhì Vol. 30; no. 9; p. 709
• Main Authors: Zhao, Bai-Qin, Dong, Ai-Qiang, Chen, Ru-Kun
• Format: Journal Article
• Language: Chinese
• Published: China 01.09.2008
• Subjects: Adolescent; Adult; Aged; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Lymphoma - diagnosis; Lymphoma - pathology; Lymphoma - surgery; Male; Middle Aged; Neurilemmoma - diagnosis; Neurilemmoma - pathology; Neurilemmoma - surgery; Neurofibroma - diagnosis; Neurofibroma - pathology; Neurofibroma - surgery; Pulmonary Edema - etiology; Survival Rate; Thoracic Neoplasms - diagnosis; Thoracic Neoplasms - pathology; Thoracic Neoplasms - surgery; Thoracic Surgical Procedures - adverse effects; Thoracic Surgical Procedures - methods; Tumor Burden
• ISSN: 0253-3766

To summarize the experience in diagnosis and surgical treatment of giant intrathoracic solid tumors. The data of surgically treated 36 patients with giant intrathoracic solid tumors were analyzed, including 19 males and 17 females. Complete resection was achieved in 34 cases with superior vena cava angioplasty in 3 cases and ligation of the left anonymous vein in 2 cases. Six patients received postoperative radiotherapy. The symptoms in 32 cases were significantly improved. Two patients (5.6%) died of postoperative respiratory infection and failure. The mean postoperative hospital stay was 14.2 days. Pulmonary edema occurred in 6 cases due to rapid decompression of the lung. Pathological results showed that 25 cases had benign tumors and 11 had malignancy. During the follow-up of 1 to 22 years, all patients with benign tumors were still alive, but the patients with malignant tumors had a mean survival time of only 2.1 years. Surgical treatment for giant intrathoracic solid tumors is suggested whenever technic