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Motus I.Ya.

Ural Research Institute for Phthisiopulmonology;
Regional Clinical Medical Center for Phthisiopulmonology and Infectious Diseases

Bazhenov A.V.

Ural Research Institute for Phthisiopulmonology

Tuponogov S.N.

Regional Children’s Clinical Hospital

Giant intrathoracic tumors

Authors:

Motus I.Ya., Bazhenov A.V., Tuponogov S.N.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(12): 54‑60

DOI: 10.17116/hirurgia202512154

Read: 698 times

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Table of contents

GIANT INTRATHORACIC TUMORS
GIANT INTRATHORACIC TUMORS

To cite this article:

Motus IYa, Bazhenov AV, Tuponogov SN. Giant intrathoracic tumors. Pirogov Russian Journal of Surgery. 2025;(12):54‑60. (In Russ.)
https://doi.org/10.17116/hirurgia202512154

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The problem of giant intrathoracic tumors is still relevant. These tumors occupy more than two parts of the mediastinum and penetrated pleural cavities. The same group includes large hemithorax tumors with spread into mediastinum and compression of adjacent anatomical structures. Many authors all over the world published different aspects of this issue (diagnostic, oncologic, surgical and anesthetic). We discuss some questions concerning the choice of surgical access and surgical techniques. In 1982—2024, there were 40 patients with giant intrathoracic tumors (20 teratomas, 12 solitary fibrous tumors, 4 thymomas, 2 sarcomas, 1 neurinoma and 1 chemodectoma). Transthoracic needle core biopsy was performed in 21 patients. Eight patients had previous attempts of tumor resection. Surgical accesses for giant intrathoracic tumor resection were sternotomy in 25 cases, lateral thoracotomy in 7 cases, hemiclamshell in 2 cases and combined access in 6 cases. Postoperative morbidity was 17.5% (7 patients had different complications after surgery). Of these, 3 ones died (mortality rate 7.5%). Thirty-three (82.5%) patients recovered after surgery well.

Keywords:

giant pleural tumors
mediastinal tumors
surgical treatment of giant pleural tumors
resection of mediastinal tumors

Authors:

Motus I.Ya.

Ural Research Institute for Phthisiopulmonology;
Regional Clinical Medical Center for Phthisiopulmonology and Infectious Diseases

Bazhenov A.V.

Ural Research Institute for Phthisiopulmonology

Tuponogov S.N.

Regional Children’s Clinical Hospital

Received:

05.01.2025

Accepted:

25.02.2025

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References:

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