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Wildor Samir Cubas Llalle,Maisa Valenzuela,Carlos Pachas-Canales,Jaime Vásquez-Arias 대한흉부외과학회 2021 Journal of Chest Surgery (J Chest Surg) Vol.54 No.6
Resection and reconstruction of the chest wall for the radical surgical treatment of ma- lignant soft tissue tumors are currently considered a substantial challenge for thoracic surgeons. We present an unusual case of infantile fibrosarcoma with tropomyosin 3-neu- rotrophic receptor tyrosine kinase 1 fusion in a 13-year-old patient. The surgical treatment consisted of radical resection of the right posterior chest wall and reconstruction with the use of the STRATOS (Strasbourg Thoracic Osteosynthesis System) titanium rib bridge sys- tem. The patient had a favorable postoperative course and received respiratory-ventilatory rehabilitation, adjuvant therapy with chemotherapeutic agents, immunotherapy, and ra- diotherapy.
Thoracic Fetiform Teratoma: A Case Report of a Very Rare Entity in a Peruvian Hospital
Ludwig Cáceres-Farfán,Wildor Samir Cubas,Franco Albán,Jorge Mantilla-Vásquez,Johny Mayta-Rodríguez,Karen Mendoza-Guerra 대한심장혈관흉부외과학회 2023 Journal of Chest Surgery (J Chest Surg) Vol.56 No.4
Mature fetiform teratoma, or homunculus, is a term coined for a rare variant of teratoma with a prevalence of 0.01% of teratomas. There have been very few cases reported in the world, and its thoracic presentation is extremely unusual. We present the case of a 31-year-old female patient with a history of progressive chest pain in the left hemithorax, associated with dyspnea on moderate exertion and cough. Imaging studies revealed a large intrathoracic tumor visually compatible with a teratoma. Surgical resection by a clamshell approach was successful, and subsequent anatomopathological studies of the operative specimen concluded that the mass was a mature fetiform thoracic teratoma. The treatment of this entity is generally surgical and includes wide resection due to its large adhesive component to surrounding tissues. Thus, the cardiothoracic surgeon must know approaches that allow wide resection, making these cases true surgical challenges.