Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Treatment of Tumor Involving Thoracic Inlet by Using Transmanubrial Osteomuscular Sparing Approach - One case report-

흉강입구를 침범한 종양의 근골보존 경흉골병 접근술을 이용한 치유 -1예 보고-

  • Choi Chan Young (Department of Neurosurgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Kim Wook Sung (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Ryoo Ji Yoon (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Chang Woo Ik (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Kim Min-Kyung (Department of Pathology, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Cho Seong Joon (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Kangwon National University) ;
  • Kim Yeon Soo (Department of Thoracic and Cardiovascular Surgery, Ilsan Paik Hospital, College of Medicine, Inje University)
  • 최찬영 (인제대학교 일산백병원 신경외과학교실) ;
  • 김욱성 (인제대학교 일산백병원 흉부외과학교실) ;
  • 류지윤 (인제대학교 일산백병원 흉부외과학교실) ;
  • 장우익 (인제대학교 일산백병원 흉부외과학교실) ;
  • 김민경 (인제대학교 일산백병원 병리학교실) ;
  • 조성준 (강원대학교 의과대학 흉부외과학교실) ;
  • 김연수 (인제대학교 일산백병원 흉부외과학교실)
  • Published : 2005.12.01
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Abstract

The operative case of transmanubrial osteomuscular sparing approach for the tumor involving thoracic inlet is reported. A 69-year-old man visited the hospital due to right upper extremity weakness. Chest roentgenogram showed bronchiectasis, chronic pulmonary tuberculosis, and fungal ball in right upper lobe. On computed tomogram, tumor was located in epidural space of the 6th, the 7th cervical, and the 1st thoracic spine and extended to the apex of the right thorax. A neurosurgeon performed laminectomy and removed the tumor located in the spinal canal. A thoracic surgeon performed a transmanubrial osteomuscular sparing approach and removed the tumor involving thoracic inlet. The tumor was diagnosed as hemangiopericytoma. The patient recovered without complication.

흉강입구를 침범한 종양을 근골보존 경흉골병 접근술을 이용하여 수술한 증례를 보고하고자 한다. 우측 상지의 근력 약화를 주소로 69세의 남자 환자가 내원하였다. 단순 흉부 방사선 사진에서 우측 폐 상엽에 기관지 확장증, 만성 결핵과 진균덩이가 관찰되었다. 전산화단층촬영에서 종양이 제 6, 7번 경추와 제 1번 흉추의 척추강내 경막외에 위치하며 우측 흉곽 첨부에까지 연장되어 있었다 신경외과에서 먼저 후궁절제술을 시행하여 척추강 안의 종양을 절제한 후, 흉부외과에서 근골보존 경흉골병 접근술을 통하여 흉강입구를 침범한 종양을 제거하였다. 종양은 혈관외피세포종으로 진단되었으며, 환자는 수술 후 합병증 없이 회복되었다.

Keywords

References

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