Diagnosis and Treatment of Giant Intrathoracic Tumors

Abstract

The objective: to determine the indications and possibility of surgical treatment of giant malignant intrathoracic tumors.Subjects and Methods. The authors presents their own experience of treatment of 19 patients with giant malignant intrathoracic tumors.Results. Overall resectability was 79% (15/19 patients). 4 patients underwent combined surgery: in 2 patients, the tumor was removed with resection of a part of the upper lobe of the lung; 1 patient had this left lung resected (pneumoectomy); and 1 patient had type A thymoma, so resection and reconstruction of the pulmonary arterial trunk was performed. Radicality was assessed both during surgery (R2 – in 3 patients) and during morphological testing of surgical specimens (R1 – in 1 patient).Among the operated giant neoplasms of the chest, which did not include lymphomas and extra-gonadal dysgerminogenic tumors, thymoma (7/19; 36.8%) and neoplasms of neurogenic origin (3/19; 31.6%) of varying degrees of differentiation were more often diagnosed.The examination algorithm of these patients and decision-making on surgical tactics are presented. The article discusses access options and technical surgical methods for removing large tumor masses with a specific clinical examples.