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Successful surgical treatment of the giant mediastinal seminoma complicated by the syndrome of the superior vena cava in a 45-year-old patient

Giller D. B., Berezovsky Y. S., Severova L. P., Giller B. D., Shherbakova G. V., Shilova M. V., Knyazeva S. G.
Российский электронный журнал лучевой диагностики
Vol.9, Issue2, P. 275-281
Опубликовано: 2019
Тип ресурса: Статья

DOI:10.21569/2222-7415-2019-9-2-275-281

Аннотация:
Purpose. Due to the primary mediastinal seminoma rarity and the absence of cases with it complete surgical removal description in world literature, according to our data, we would like to bring to your attention the following observation of the patient. Materials and methods. A 45 years old patient with a mediastinal mass. In one of the oncologic clinics, after transsternal puncture, tuberculosis was morphologically diagnosed. On admission to our clinic, a giant tumor of the anterior mediastinum was visualized with multislice computed tomography (MSCT). It was located from the subclavian vein to the level of VII ribs. The diagnosis on admission was intrathoracic lymph nodes tuberculosis, but it raised doubts. Due to the presence of vena cava syndrome, it was decided to conduct a medical diagnostic surgery as a matter of urgency. From the right lateral thoracotomy giant formation weighing 1500gwasremoved. It compressed heart, mediastinum vessels and trachea. Results. On the basis of a c
Ключевые слова:
Diagnostic imaging; MSCT; Seminoma; Surgery
bleomycin; cisplatin; etoposide; adult; Article; case report; clinical article; diagnostic error; electrocardiogram; heart; human; human tissue; immunohistochemistry; lymph node; male; mediastinum mass; middle aged; multidetector computed tomography; seminoma; subclavian vein; superior cava vein syndrome; thoracotomy; trachea; tuberculosis; ultrasound
Язык текста: Английский
ISSN: 2222-7415
Giller D. B. Dmitrij Borisovich 1959-
Berezovsky Y. S. Yu.S.
Severova L. P. Lyudmila Petrovna 1992-
Giller B. D. Boris Dmitrievich 1993-
Shherbakova G. V. Galina Vladimirovna 1973-
Shilova M. V. Margarita Viktorovna 1930-
Knyazeva S. G. Stella Gennadyevna 1996-
Гиллер Д. Б. Дмитрий Борисович 1959-
Березовскy Y. С. Ю.С.
Северова Л. П. Людмила Петровна 1992-
Гиллер Б. Д. Борис Дмитриевич 1993-
Щербакова Г. В. Галина Владимировна 1973-
Шилова М. В. Маргарита Викторовна 1930-
Князева С. Г. Стелла Геннадьевна 1996-
Successful surgical treatment of the giant mediastinal seminoma complicated by the syndrome of the superior vena cava in a 45-year-old patient
Текст визуальный непосредственный
Российский электронный журнал лучевой диагностики
Национальный конгресс лучевых диагностов
Vol.9, Issue2 P. 275-281
2019
Статья
Diagnostic imaging MSCT Seminoma Surgery
bleomycin cisplatin etoposide adult Article case report clinical article diagnostic error electrocardiogram heart human human tissue immunohistochemistry lymph node male mediastinum mass middle aged multidetector computed tomography seminoma subclavian vein superior cava vein syndrome thoracotomy trachea tuberculosis ultrasound
Purpose. Due to the primary mediastinal seminoma rarity and the absence of cases with it complete surgical removal description in world literature, according to our data, we would like to bring to your attention the following observation of the patient. Materials and methods. A 45 years old patient with a mediastinal mass. In one of the oncologic clinics, after transsternal puncture, tuberculosis was morphologically diagnosed. On admission to our clinic, a giant tumor of the anterior mediastinum was visualized with multislice computed tomography (MSCT). It was located from the subclavian vein to the level of VII ribs. The diagnosis on admission was intrathoracic lymph nodes tuberculosis, but it raised doubts. Due to the presence of vena cava syndrome, it was decided to conduct a medical diagnostic surgery as a matter of urgency. From the right lateral thoracotomy giant formation weighing 1500gwasremoved. It compressed heart, mediastinum vessels and trachea. Results. On the basis of a c