Intrapleural tumor dissemination after video-assisted thoracoscopic surgery metastasectomy.
case_report · Level V
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Abstract
In a 34-year-old woman extensive intrapleural disease developed within 1 year of video-assisted thoracoscopic surgery (VATS) removal of two pulmonary metastases from a previously treated synovial sarcoma. She underwent a successful complete pleurectomy through a left thoracotomy to excise the pleural tumor and remains well 6 months later. This case highlights tumor dissemination as one of the pitfalls of VATS metastasectomy and raises concerns about using VATS in this situation.
Medical subject headings
- Lung Neoplasms
- Neoplasm Seeding
- Pleural Neoplasms
- Sarcoma, Synovial
- Thoracic Surgery, Video-Assisted