Basic principles and quality control of surgical treatment for giant thoracic tumors_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHUANG Weitao ^1,2 , GAO Zhen ¹ , ZENG Weisheng ³ , XU Enwu ³ , TANG Yong ³ , XIAO Haiping ³ , CHEN Gang ¹ , BEN Xiaosong ¹ ,  QIAO Guibin ¹

1. Department of Thoracic Surgery, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, P.R.China;
2. Shantou University Medical College, Shantou, 515041, Guangdong, P.R.China;
3. Department of Thoracic Surgery, General Hospital of Southern Theater Command, PLA, Guangzhou, 510010, P.R.China;

Corresponding author：

QIAO Guibin, Email: guibinqiao@126.com

Keywords：

Giant thoracic tumors; surgical strategy; perioperative management; quality control

DOI：

10.7507/1007-4848.202004071

Video：

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Giant thoracic tumor is currently one of the diagnostic and therapeutic challenges of thoracic surgery, with no established guideline or standard for diagnosis and treatment. The quality control of individualized surgical strategy and perioperative management with multi-disciplinary participation is the key to ensure the safety and improve the prognosis of patients. Based on the clinical experience of our institution and others, we hereby discussed and summarized the basic principles, surgical strategies and perioperative management of giant thoracic tumor, aiming to provide a reference of quality control.

Citation： ZHUANG Weitao, GAO Zhen, ZENG Weisheng, XU Enwu, TANG Yong, XIAO Haiping, CHEN Gang, BEN Xiaosong, QIAO Guibin. Basic principles and quality control of surgical treatment for giant thoracic tumors. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(9): 996-1000. doi: 10.7507/1007-4848.202004071 Copy

1.	Kashu Y, Yukumi S, Tsunooka N, <italic>et al</italic>. Successful resection of a massive mediastinal liposarcoma that rapidly extended into the entire left thoracic cavity: report of a case. Surg Today, 2012, 42(1): 68-71.
2.	Kong FW, Zhang M, Wang H, <italic>et al</italic>. A rare case of Merkel cell carcinoma presenting as a giant intra-thoracic mass: A case report and review of the literature. Medicine (Baltimore), 2017, 96(46): e8743.
3.	Salah S, Al-Ibraheem A, Daboor A, <italic>et al</italic>. Synovial sarcoma presenting with huge mediastinal mass: a case report and review of literature. BMC Res Notes, 2013, 6: 240.
4.	Thakkar RG, Shah S, Dumbre A, <italic>et al</italic>. Giant solitary fibrous tumour of pleura—an uncommon intrathoracic entity—a case report and review of the literature. Ann Thorac Cardiovasc Surg, 2011, 17(4): 400-403.
5.	Feng Z, Li M, Liu F, <italic>et al</italic>. Analysis of giant thoracic neoplasms: Correlations between imaging, pathology and surgical management. Thorac Cancer, 2017, 8(5): 402-409.
6.	Suzuki S, Takahashi Y. Huge mediastinal germ cell tumor with "white-out" chest X-ray imaging of the left lung. Thorac Cancer, 2019, 10(2): 386-387.
7.	郭楠楠, 周少华, 张文, 等. 50例胸腔巨大肿瘤的外科治疗分析. 中华肺部疾病杂志(电子版), 2017, 10(4): 391-394.
8.	Motus IY, Bazhenov AV, Massard G. Surgery for huge mediastinal tumors. Asian Cardiovasc Thorac Ann, 2015, 23(7): 846-850.
9.	Wang G, Wu C, Wang Y, <italic>et al</italic>. A girl with a giant fibrolipoma in her thoracic cavity: A rare case report. J Med Case Rep, 2019, 13(1): 140.
10.	Yang C, Zhao D, Zhang P, <italic>et al</italic>. Intrathoracic neurogenic tumor with malignant transition—20 years operation experience in a medical center of China. Neurosci Lett, 2017, 637: 195-200.
11.	李文雅, 孙雷, 陈希涛, 等. 胸腔巨大肿瘤外科治疗26例临床分析. 现代肿瘤医学, 2015, 23(2): 198-199.
12.	Li WW, van Boven WJ, Annema JT, <italic>et al</italic>. Management of large mediastinal masses: surgical and anesthesiological considerations. J Thorac Dis, 2016, 8(3): E175-E184.
13.	Song JY, Kim KH, Kuh JH, <italic>et al</italic>. Two-stage surgical treatment of a giant solitary fibrous tumor occupying the thoracic cavity. Korean J Thorac Cardiovasc Surg, 2018, 51(6): 415-418.
14.	冯振. 胸腔巨大肿瘤手术预后分析及三维重建影像技术临床应用研究. 山东大学, 2017.
15.	Puma F, Cardini CL, Passalacqua G, <italic>et al</italic>. Preoperative embolization in surgical management of giant thoracic sarcomas. Eur J Cardiothorac Surg, 2008, 33(1): 127-129.
16.	刘凤永, 王茂强, 樊庆胜, 等. 胸部巨大肿瘤切除术前介入栓塞的临床应用. 中华肿瘤防治杂志, 2008, 15(20): 1590-1591.
17.	Yan S, Sun Y, Sun Y, <italic>et al</italic>. Thoracoscopic transclavicular approach for a large thoracic inlet tumor. Ann Thorac Surg, 2014, 98(4): e91-e93.
18.	朱建权, 孙冰生, 尤健, 等. 胸部巨大恶性外周神经鞘膜瘤1例. 中国肿瘤临床, 2011, 38(11): 676.
19.	Kayawake H, Chen-Yoshikawa TF, Date H. Dual approach for large mediastinal tumors in the thoracic outlet: transmanubrial osteomuscular sparing approach and video-assisted thoracoscopic surgery. J Cardiothorac Surg, 2019, 14(1): 42.
20.	Chang YL, Lee YC, Wu CT. Thoracic solitary fibrous tumor: clinical and pathological diversity. Lung Cancer, 1999, 23(1): 53-60.
21.	李洪荣, 李雄, 黄丽杉. 18例胸内巨大肿瘤的外科治疗分析. 中国肿瘤临床, 2002, 29(4): 280-281.
22.	Van der Mieren G, Willems S, Sciot R, <italic>et al</italic>. Pericardial synovial sarcoma: 14-year survival with multimodality therapy. Ann Thorac Surg, 2004, 78(3): e41-42.
23.	Ampollini L, Stavroulias D, Carbognani P, <italic>et al</italic>. A huge ulcerated mass of the thorax. Dermatol Surg, 2010, 36(12): 2043-2044.
24.	Döngel I, Yazkan R, Duman L, <italic>et al</italic>. Huge inflammatory myofibroblastic tumor of pleura with concomitant nuchal fibroma. Ann Thorac Surg, 2013, 96(4): 1461-1464.
25.	郭俊. 12例胸内巨大肿瘤围手术期护理. 现代护理, 2001, 7(8): 22.
26.	Soeroso NN, Pradana A, Djaka M, <italic>et al</italic>. An unusual case of recurrent huge primary mediastinal dedifferentiated liposarcoma. Int J Surg Case Rep, 2018, 50: 140-143.

1. Kashu Y, Yukumi S, Tsunooka N, <italic>et al</italic>. Successful resection of a massive mediastinal liposarcoma that rapidly extended into the entire left thoracic cavity: report of a case. Surg Today, 2012, 42(1): 68-71.
2. Kong FW, Zhang M, Wang H, <italic>et al</italic>. A rare case of Merkel cell carcinoma presenting as a giant intra-thoracic mass: A case report and review of the literature. Medicine (Baltimore), 2017, 96(46): e8743.
3. Salah S, Al-Ibraheem A, Daboor A, <italic>et al</italic>. Synovial sarcoma presenting with huge mediastinal mass: a case report and review of literature. BMC Res Notes, 2013, 6: 240.
4. Thakkar RG, Shah S, Dumbre A, <italic>et al</italic>. Giant solitary fibrous tumour of pleura—an uncommon intrathoracic entity—a case report and review of the literature. Ann Thorac Cardiovasc Surg, 2011, 17(4): 400-403.
5. Feng Z, Li M, Liu F, <italic>et al</italic>. Analysis of giant thoracic neoplasms: Correlations between imaging, pathology and surgical management. Thorac Cancer, 2017, 8(5): 402-409.
6. Suzuki S, Takahashi Y. Huge mediastinal germ cell tumor with "white-out" chest X-ray imaging of the left lung. Thorac Cancer, 2019, 10(2): 386-387.
7. 郭楠楠, 周少华, 张文, 等. 50例胸腔巨大肿瘤的外科治疗分析. 中华肺部疾病杂志(电子版), 2017, 10(4): 391-394.
8. Motus IY, Bazhenov AV, Massard G. Surgery for huge mediastinal tumors. Asian Cardiovasc Thorac Ann, 2015, 23(7): 846-850.
9. Wang G, Wu C, Wang Y, <italic>et al</italic>. A girl with a giant fibrolipoma in her thoracic cavity: A rare case report. J Med Case Rep, 2019, 13(1): 140.
10. Yang C, Zhao D, Zhang P, <italic>et al</italic>. Intrathoracic neurogenic tumor with malignant transition—20 years operation experience in a medical center of China. Neurosci Lett, 2017, 637: 195-200.
11. 李文雅, 孙雷, 陈希涛, 等. 胸腔巨大肿瘤外科治疗26例临床分析. 现代肿瘤医学, 2015, 23(2): 198-199.
12. Li WW, van Boven WJ, Annema JT, <italic>et al</italic>. Management of large mediastinal masses: surgical and anesthesiological considerations. J Thorac Dis, 2016, 8(3): E175-E184.
13. Song JY, Kim KH, Kuh JH, <italic>et al</italic>. Two-stage surgical treatment of a giant solitary fibrous tumor occupying the thoracic cavity. Korean J Thorac Cardiovasc Surg, 2018, 51(6): 415-418.
14. 冯振. 胸腔巨大肿瘤手术预后分析及三维重建影像技术临床应用研究. 山东大学, 2017.
15. Puma F, Cardini CL, Passalacqua G, <italic>et al</italic>. Preoperative embolization in surgical management of giant thoracic sarcomas. Eur J Cardiothorac Surg, 2008, 33(1): 127-129.
16. 刘凤永, 王茂强, 樊庆胜, 等. 胸部巨大肿瘤切除术前介入栓塞的临床应用. 中华肿瘤防治杂志, 2008, 15(20): 1590-1591.
17. Yan S, Sun Y, Sun Y, <italic>et al</italic>. Thoracoscopic transclavicular approach for a large thoracic inlet tumor. Ann Thorac Surg, 2014, 98(4): e91-e93.
18. 朱建权, 孙冰生, 尤健, 等. 胸部巨大恶性外周神经鞘膜瘤1例. 中国肿瘤临床, 2011, 38(11): 676.
19. Kayawake H, Chen-Yoshikawa TF, Date H. Dual approach for large mediastinal tumors in the thoracic outlet: transmanubrial osteomuscular sparing approach and video-assisted thoracoscopic surgery. J Cardiothorac Surg, 2019, 14(1): 42.
20. Chang YL, Lee YC, Wu CT. Thoracic solitary fibrous tumor: clinical and pathological diversity. Lung Cancer, 1999, 23(1): 53-60.
21. 李洪荣, 李雄, 黄丽杉. 18例胸内巨大肿瘤的外科治疗分析. 中国肿瘤临床, 2002, 29(4): 280-281.
22. Van der Mieren G, Willems S, Sciot R, <italic>et al</italic>. Pericardial synovial sarcoma: 14-year survival with multimodality therapy. Ann Thorac Surg, 2004, 78(3): e41-42.
23. Ampollini L, Stavroulias D, Carbognani P, <italic>et al</italic>. A huge ulcerated mass of the thorax. Dermatol Surg, 2010, 36(12): 2043-2044.
24. Döngel I, Yazkan R, Duman L, <italic>et al</italic>. Huge inflammatory myofibroblastic tumor of pleura with concomitant nuchal fibroma. Ann Thorac Surg, 2013, 96(4): 1461-1464.
25. 郭俊. 12例胸内巨大肿瘤围手术期护理. 现代护理, 2001, 7(8): 22.
26. Soeroso NN, Pradana A, Djaka M, <italic>et al</italic>. An unusual case of recurrent huge primary mediastinal dedifferentiated liposarcoma. Int J Surg Case Rep, 2018, 50: 140-143.

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