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J Thorac Cardiovasc Surg 2007;134:528-529
© 2007 The American Association for Thoracic Surgery

Brief Communication

Minimally invasive combined approach for an hourglass-shaped mass at the thoracic inlet

Francesco Givigliano, MDa, Antonello La Rocca, MDa, Carmine La Manna, MDa, Luigi Busiello, MDa, Francesco Longo, MDb, Francesco Scognamiglio, MDa, Francesco Ionna, MDb, Gaetano Rocco, MD, FRCS (Ed), FECTSa,*

a Division of Thoracic Surgery, National Cancer Institute, Pascale Foundation, Naples, Italy
b Division of Head and Neck Surgery, National Cancer Institute, Pascale Foundation, Naples, Italy.

Received for publication January 19, 2007; accepted for publication March 8, 2007.

* Address for reprints: G. Rocco, MD, FRCS (Ed), FECTS, Chief, Thoracic Surgery, National Cancer Institute, Pascale Foundation, Via Semmola 81, 80131, Naples, Italy. (Email: Gaetano.Rocco@btopenworld.com).

The first 20% of the full text of this article appears below.

A variety of surgical approaches have been proposed for malignant tumors located at the thoracic inlet. Usually, local invasiveness either precludes surgery or imposes wide exposure for extended resections. The attendant morbidity may not be justified when dealing with benign lesions, which should be removed in accordance with a conservative surgical strategy.

Clinical Summary

A 48-year-old man was referred for diagnosis of a bulging mass in the left supraclavicular fossa detected suddenly after moderate weight lifting. On examination, the lesion seemed cystic and was neither painful nor mobile. A chest computed tomographic scan and subsequent magnetic resonance imaging showed a 3 x 7 cm . . . [Full Text of this Article]






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Copyright © 2007 by The American Association for Thoracic Surgery.