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Progressive dyspnea in patient with large mediastinal mass
Liposarcoma occurs very rarely in the mediastinum. Patients often remain asymptomatic until it grows large enough to cause direct invasion or compression of adjacent organs. We report a case of a 77-year-old male presented with dyspnea of exertion and was found to have a large mediastinal mass which...
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Published in: | Journal of cardiothoracic surgery 2014-01, Vol.9 (1), p.6-6, Article 6 |
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creator | Fukuhara, Shinichi Dimitrova, Kamellia R Geller, Charles M Hoffman, Darryl M Ko, Wilson Tranbaugh, Robert F |
description | Liposarcoma occurs very rarely in the mediastinum. Patients often remain asymptomatic until it grows large enough to cause direct invasion or compression of adjacent organs. We report a case of a 77-year-old male presented with dyspnea of exertion and was found to have a large mediastinal mass which was eventually diagnosed as primary mediastinal well-differentiated liposarcoma. The limited respiratory function at the initial presentation prompted phrenic nerve preserving incomplete resection rather than radical removal of the adjacent mediastinal structures. After surgical removal, the recurrence for well-differentiated mediastinal liposarcomas in the mediastinum is unknown; therefore, close follow-up is crucial. |
doi_str_mv | 10.1186/1749-8090-9-6 |
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Patients often remain asymptomatic until it grows large enough to cause direct invasion or compression of adjacent organs. We report a case of a 77-year-old male presented with dyspnea of exertion and was found to have a large mediastinal mass which was eventually diagnosed as primary mediastinal well-differentiated liposarcoma. The limited respiratory function at the initial presentation prompted phrenic nerve preserving incomplete resection rather than radical removal of the adjacent mediastinal structures. After surgical removal, the recurrence for well-differentiated mediastinal liposarcomas in the mediastinum is unknown; therefore, close follow-up is crucial.</description><identifier>ISSN: 1749-8090</identifier><identifier>EISSN: 1749-8090</identifier><identifier>DOI: 10.1186/1749-8090-9-6</identifier><identifier>PMID: 24393470</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Aged ; Case Report ; Diagnosis, Differential ; Disease Progression ; Dyspnea - diagnosis ; Dyspnea - etiology ; Dyspnea - surgery ; Humans ; Liposarcoma - complications ; Liposarcoma - diagnosis ; Liposarcoma - surgery ; Magnetic Resonance Imaging ; Male ; Mediastinal Neoplasms - complications ; Mediastinal Neoplasms - diagnosis ; Mediastinal Neoplasms - surgery ; Radiography, Thoracic ; Severity of Illness Index ; Sternotomy - methods ; Tomography, X-Ray Computed</subject><ispartof>Journal of cardiothoracic surgery, 2014-01, Vol.9 (1), p.6-6, Article 6</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>2014 Fukuhara et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2014 Fukuhara et al.; licensee BioMed Central Ltd. 2014 Fukuhara et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c482t-b52ccc340c3c562b85ebaa0601fd2f5ab2fb26b569a8960e93e7284a27ed07453</citedby><cites>FETCH-LOGICAL-c482t-b52ccc340c3c562b85ebaa0601fd2f5ab2fb26b569a8960e93e7284a27ed07453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3896736/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1482506694?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,25734,27905,27906,36993,36994,44571,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24393470$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fukuhara, Shinichi</creatorcontrib><creatorcontrib>Dimitrova, Kamellia R</creatorcontrib><creatorcontrib>Geller, Charles M</creatorcontrib><creatorcontrib>Hoffman, Darryl M</creatorcontrib><creatorcontrib>Ko, Wilson</creatorcontrib><creatorcontrib>Tranbaugh, Robert F</creatorcontrib><title>Progressive dyspnea in patient with large mediastinal mass</title><title>Journal of cardiothoracic surgery</title><addtitle>J Cardiothorac Surg</addtitle><description>Liposarcoma occurs very rarely in the mediastinum. Patients often remain asymptomatic until it grows large enough to cause direct invasion or compression of adjacent organs. We report a case of a 77-year-old male presented with dyspnea of exertion and was found to have a large mediastinal mass which was eventually diagnosed as primary mediastinal well-differentiated liposarcoma. The limited respiratory function at the initial presentation prompted phrenic nerve preserving incomplete resection rather than radical removal of the adjacent mediastinal structures. 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Patients often remain asymptomatic until it grows large enough to cause direct invasion or compression of adjacent organs. We report a case of a 77-year-old male presented with dyspnea of exertion and was found to have a large mediastinal mass which was eventually diagnosed as primary mediastinal well-differentiated liposarcoma. The limited respiratory function at the initial presentation prompted phrenic nerve preserving incomplete resection rather than radical removal of the adjacent mediastinal structures. After surgical removal, the recurrence for well-differentiated mediastinal liposarcomas in the mediastinum is unknown; therefore, close follow-up is crucial.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24393470</pmid><doi>10.1186/1749-8090-9-6</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Case Report Diagnosis, Differential Disease Progression Dyspnea - diagnosis Dyspnea - etiology Dyspnea - surgery Humans Liposarcoma - complications Liposarcoma - diagnosis Liposarcoma - surgery Magnetic Resonance Imaging Male Mediastinal Neoplasms - complications Mediastinal Neoplasms - diagnosis Mediastinal Neoplasms - surgery Radiography, Thoracic Severity of Illness Index Sternotomy - methods Tomography, X-Ray Computed |
title | Progressive dyspnea in patient with large mediastinal mass |
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