Robot-assisted Thoracoscopic Resection of a Benign Mediastinal Neurogenic Tumor: Technical Note

Neurosurgery ◽  
2003 ◽  
Vol 52 (2) ◽  
pp. 462-464 ◽  
Author(s):  
Jelle P. Ruurda ◽  
Patrick W. Hanlo ◽  
Adriaan Hennipman ◽  
Ivo A.M.J. Broeders
Keyword(s):  
Case Report ◽  
Thoracoscopic Surgery ◽  
Technical Note ◽  
Neurogenic Tumor ◽  
Magnetic Resonance Imaging Scan ◽  
Surgical Removal ◽  
Robot Assisted ◽  
Thoracoscopic Resection ◽  
Neurogenic Tumors ◽  
First Case

Abstract OBJECTIVE Robotic surgery systems were introduced recently with the objective of enhancing the dexterity and view during procedures that use a videoscope. The first case report of robot-assisted thoracoscopic removal of a benign neurogenic tumor in the thorax is presented. METHODS A 46-year-old woman presented with a history of paravertebral pain. A chest x-ray revealed a left paravertebral mass. A magnetic resonance imaging scan revealed a well-encapsulated mass that was suspected to be a neuroma at the level of T8–T9, separate from vascular structures, without extension in the foramina, and without a spinal canal component. RESULTS A left robot-assisted thoracoscopic resection of the tumor was performed. After placement of six trocars, the tumor was carefully dissected and removed through one of the trocar openings. The histopathological findings revealed an ancient schwannoma. CONCLUSION This case report demonstrates the feasibility of robot-assisted thoracoscopic extirpation of a thoracic neurogenic tumor. Robot-assisted surgery may prove to be of additional value in challenging thoracoscopic surgery, such as the delicate surgical removal of benign neurogenic tumors, because of the support in manipulation and visualization during videoscopic interventions.

Pazopanib-related secondary polycythemia in metastatic myxofibrosarcoma: A case report and review of the literature

2020 ◽  
pp. 107815522095044
Author(s):  
Martina Fanelli ◽  
Francesco Caputo ◽  
Krisida Cerma ◽  
Fabio Gelsomino ◽  
Alessia Bari ◽  
...  
Keyword(s):  
Case Report ◽  
Kinase Inhibitor ◽  
Smoking Habit ◽  
Soft Tissue Sarcomas ◽  
Drug Discontinuation ◽  
Surgical Removal ◽  
Related Condition ◽  
Distant Relapse ◽  
First Case ◽  
Secondary Polycythemia

Introduction Pazopanib, a tyrosine kinase inhibitor (TKI), is a standard treatment for various tumours, including metastatic non-adipocytic soft-tissue sarcomas. In literature, erythrocytosis has been described as a TKI-related condition. Case report A 59-year-old man underwent surgical removal of a sub-scapular mass consistent with myxofibrosarcoma. After distant relapse, he first started chemotherapy, and then Pazopanib. He was found to have increased levels of hemoglobin (Hb) and hematocrit (Hct). He was asymphtomatic, with no history of pulmonary disease nor smoking habit. Erythropoietin (EPO) level was higher than normal. A polycythemia vera was ruled out. Management & outcome: The patient started a prophylactic therapy with lysine acetylsalicylate, and we observed a reduction of Hb, but not Hct. Due to disease progression, we interrupted Pazopanib. After a week from drug discontinuation, Hb levels got back to the normal range, Hct was lowering. We decided not to perform phlebotomy, considering the declining trend in Hb and Hct values and the absence of symptoms. Discussion We postulated a Pazopanib-related secondary erythrocytosis, since Hb and Hct levels increased from baseline during treatment, then normalized when Pazopanib was discontinued. We used the Naranjo Nomogram to assess the correlation between the adverse effect and Pazopanib, the correlation was “Probable”, a score of 5. To the best of our knowledge, this is the first case report of Pazopanib-related secondary polycythemia in a patient with sarcoma. It is important to pay attention to blood count and to any symptoms potentially related to erythrocytosis in patients treated with TKIs.

Minimally Invasive Thoracoscopic Resection of Paraspinal Neurogenic Tumors: Technical Case Report

2008 ◽  
Vol 63 (suppl_1) ◽  
pp. ONSE54-ONSE54 ◽  
Author(s):  
Peter Kan ◽  
Meic H. Schmidt
Keyword(s):  
Case Report ◽  
Posterior Approach ◽  
Posterior Mediastinum ◽  
Complete Resection ◽  
Posterolateral Thoracotomy ◽  
Review Of The Literature ◽  
Thoracoscopic Resection ◽  
Thoracoscopic Approach ◽  
Neurogenic Tumors ◽  
Common Location

Abstract Objective: The posterior mediastinum is a common location for benign neurogenic tumors. They are frequently asymptomatic but can present with local compressive or neurological symptoms. Methods: Thoracoscopy is used increasingly over posterolateral thoracotomy for the removal of these lesions. Results: Complete resection of these tumors through a thoracoscopic approach is possible in most cases, but dumbbell tumors present as special challenges, which require a combined thoracoscopic and open posterior approach. Conclusion: In this article, we outline the technique of thoracoscopic resection of paraspinal neurogenic tumors through an operative video and a review of the literature to summarize the surgical outcomes of patients with these lesions.

scholarly journals Thoracoscopic resection of neurogenic tumor in the thoracic apex: A case report

2010 ◽  
Vol 24 (5) ◽  
pp. 846-849
Author(s):  
Makoto Odaka ◽  
Takeo Nakada ◽  
Hisatoshi Asano ◽  
Mitsuo Yabe ◽  
Jun Hirano ◽  
...  
Keyword(s):  
Case Report ◽  
Neurogenic Tumor ◽  
Thoracoscopic Resection

scholarly journals A rare presentation of genital self-mutilation in a patient of schizophrenia

2017 ◽  
Vol 4 (3) ◽  
pp. 1131
Author(s):  
Md. Omar Tabrez ◽  
Md. Tabrez Aziz
Keyword(s):  
Case Report ◽  
Clinical Evaluation ◽  
Local Anaesthesia ◽  
Clinical Entity ◽  
Surgical Removal ◽  
Rare Presentation ◽  
Self Mutilation ◽  
First Case ◽  
Psychiatric State ◽  
Type Of Injury

Genital self-mutilation (GSM) is an uncommon self-inflicted injury. GSM is not a single clinical entity, and it can occur in any psychiatric state or condition. The instruments that are used for self-mutilation can vary, and treatment of these injuries requires a detailed clinical evaluation and multi-disciplinary approach. We report here a case report of a 28-year-old psychotic man who came to our emergency with complaint of self-hammered nails in his both scrotum with fear of not able to reproduce child after marriage. He underwent surgical removal of nail under local anaesthesia and was promptly reviewed by the psychiatrists who managed appropriately. To our knowledge this is the first case reported in literature and the rarest type of injury presented as a bilateral scrotal self-mutilation as should be managed wisely.

scholarly journals First case report of chylous ascites after robot-assisted donor nephrectomy

2016 ◽  
Vol 2016 (7) ◽  
pp. rjw118 ◽  
Author(s):  
Shiromani Janki ◽  
Türkan Terkivatan ◽  
Hendrikus J.A.N. Kimenai ◽  
Jan N.M. IJzermans ◽  
T.C. Khé Tran
Keyword(s):  
Case Report ◽  
Chylous Ascites ◽  
Donor Nephrectomy ◽  
Robot Assisted ◽  
First Case

scholarly journals Mediastinal paraganglioma successfully resected by robot-assisted thoracoscopic surgery with en bloc chest wall resection: a case report

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hiroaki Shidei ◽  
Hideyuki Maeda ◽  
Tamami Isaka ◽  
Takako Matsumoto ◽  
Tomoko Yamamoto ◽  
...  
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Thoracoscopic Surgery ◽  
Chest Wall Resection ◽  
Robot Assisted ◽  
En Bloc ◽  
Mediastinal Paraganglioma

Plasma Cell Granuloma of the Middle Ear and Mastoid

1992 ◽  
Vol 101 (1) ◽  
pp. 92-94 ◽  
Author(s):  
Nick C. Benton ◽  
Harold W. Korol ◽  
Lawrence T. Smyth
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Plasma Cell ◽  
Middle Ear ◽  
Plasma Cell Granuloma ◽  
Magnetic Resonance Imaging Scan ◽  
Vascular Compression ◽  
Resonance Imaging ◽  
First Case ◽  
Resonance Imaging Scan

We present the case of a 37-year-old man with plasma cell granuloma affecting the middle ear and mastoid. At magnetic resonance imaging scan, the lesion appeared as a homogeneously enhancing mass of soft tissue replacing the majority of the mastoid bone and causing vascular compression. After surgical resection, microscopic examination showed predominantly plasmacytes, and histochemical studies confirmed a polyclonal origin consistent with nonneoplastic plasma cell granuloma. We believe this is the first case report of plasma cell granuloma affecting the middle ear and mastoid.

scholarly journals Robot-Assisted Thoracoscopic Resection of a Posterior Mediastinal Mullerian Cyst

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Calvin Chao ◽  
Vijay Vanguri ◽  
Karl Uy
Keyword(s):  
Estrogen Receptor ◽  
Differential Diagnosis ◽  
Progesterone Receptor ◽  
Clinical Presentation ◽  
Thoracoscopic Surgery ◽  
Robot Assisted ◽  
Thoracoscopic Resection ◽  
Rare Finding ◽  
Posterior Mediastinal ◽  
Histopathologic Analysis

First described in 2005, the Mullerian derived cyst in the mediastinum is a rare finding with few subsequent reports. We report a case of Mullerian cyst occurring in the mediastinum of a 49-year-old female that was resected by robot-assisted thoracoscopic surgery. To our knowledge, this is the first report of robot-assisted resection of Hattori’s cyst. Histopathologic analysis revealed ciliated Mullerian-type tubal epithelium positive for paired box gene 8 (PAX8), estrogen receptor (ER), and progesterone receptor (PR), confirming Mullerian differentiation. We also review the clinical presentation, pathology, and differential diagnosis of such cysts.

scholarly journals Thoracoscopic Resection of Bilateral Multiple Superior Mediastinal Neurofibromas

2020 ◽  
Author(s):  
Yoko Azuma ◽  
Naobumi Tochigi ◽  
Atsushi Sano ◽  
Takashi Sakai ◽  
Satoshi Koezuka ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Thoracoscopic Resection ◽  
Case Presentation ◽  
Postoperative Course ◽  
Superior Mediastinum ◽  
Chest Cavity ◽  
Video Assisted ◽  
First Case ◽  
Video Assisted Thoracoscopic Surgery ◽  
Multiple Nodules

Abstract Background: The indications for surgical resection concerning multiple bilateral neurofibromas in the superior mediastinum remain controversial, because vascular injury or development of postoperative Horne syndrome are concerned.Case presentation: A 60-year-old woman presented with multiple nodules in her right neck and bilateral chest cavity tops which indicated neurofibromatosis. The thoracic masses grew slowly over 9 years, and she then underwent a 2-stage resection starting with the left to right side. Bilateral tumors were completely removed via video-assisted thoracic surgery. The patient’s postoperative course was uneventful, without postoperative Horner syndrome. Conclusions: To the best of our knowledge, this is the first case of multiple bilateral superior mediastinal neurofibromas resected from the pulmonary apices via thoracoscopy. We selected a minimally invasive pure video-assisted thoracoscopic surgery approach and enucleated some tumors to avoid nerve injury. This approach may be safe and useful for multiple neurofibromas in patients with neurofibromatosis.

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