Hemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report

Fetal lung interstitial tumor (FLIT) is a rare primary lung mass in neonates. Classical incisions, such as posterolateral thoracotomy or median sternotomy, do not provide optimal exposure of the operative field for the resection of pediatric thoracic giant tumors. Herein, we report a rare case of a...

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Autores principales:	Yasuhiro Kuroda, Hiroaki Fukuzawa, Insu Kawahara, Keiichi Morita
Formato:	article
Lenguaje:	EN
Publicado:	Georg Thieme Verlag KG 2021
Materias:	fetal lung interstitial tumor hemi-clamshell approach neonate tumors Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/1509b5ed1be64286ac8a5effb7b8323d
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spelling	oai:doaj.org-article:1509b5ed1be64286ac8a5effb7b8323d2021-11-25T01:51:07ZHemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report2194-76192194-762710.1055/s-0041-1735807https://doaj.org/article/1509b5ed1be64286ac8a5effb7b8323d2021-01-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735807https://doaj.org/toc/2194-7619https://doaj.org/toc/2194-7627Fetal lung interstitial tumor (FLIT) is a rare primary lung mass in neonates. Classical incisions, such as posterolateral thoracotomy or median sternotomy, do not provide optimal exposure of the operative field for the resection of pediatric thoracic giant tumors. Herein, we report a rare case of a FLIT in a full-term male neonate, with complete resection achieved using a hemi-clamshell approach, which provided the required visualization of the operative field. The neonate was transferred to our hospital because of mild respiratory distress, which developed 18-hour after normal vaginal delivery. A mass in his right chest, without a midline shift, was observed on chest radiographs. Computed tomography showed a well-circumscribed solid anterior cervicothoracic mass, with a uniform density and no apparent cysts, diagnosed as a primary thoracic giant tumor. Once the patient was clinically stabilized, we proceeded with right upper lobectomy, using a hemi-clamshell approach, full sternotomy, and anterolateral thoracotomy, on postnatal day 22. Histopathologic examination revealed an 8.5 × 6.5 × 4.0 cm solid mass within the right upper lobe, which was diagnosed as a FLIT. His postoperative recovery was uneventful. The patient was followed up for 1 year, with no complaints or symptoms and no postoperative shoulder dysfunction. Gross total resection of primary thoracic giant tumors can be accomplished in neonates with optimal exposure of the chest cavity using a hemi-clamshell approach.Yasuhiro KurodaHiroaki FukuzawaInsu KawaharaKeiichi MoritaGeorg Thieme Verlag KGarticlefetal lung interstitial tumorhemi-clamshell approachneonate tumorsPediatricsRJ1-570SurgeryRD1-811ENEuropean Journal of Pediatric Surgery Reports, Vol 09, Iss 01, Pp e72-e75 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	fetal lung interstitial tumor hemi-clamshell approach neonate tumors Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	fetal lung interstitial tumor hemi-clamshell approach neonate tumors Pediatrics RJ1-570 Surgery RD1-811 Yasuhiro Kuroda Hiroaki Fukuzawa Insu Kawahara Keiichi Morita Hemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report
description	Fetal lung interstitial tumor (FLIT) is a rare primary lung mass in neonates. Classical incisions, such as posterolateral thoracotomy or median sternotomy, do not provide optimal exposure of the operative field for the resection of pediatric thoracic giant tumors. Herein, we report a rare case of a FLIT in a full-term male neonate, with complete resection achieved using a hemi-clamshell approach, which provided the required visualization of the operative field. The neonate was transferred to our hospital because of mild respiratory distress, which developed 18-hour after normal vaginal delivery. A mass in his right chest, without a midline shift, was observed on chest radiographs. Computed tomography showed a well-circumscribed solid anterior cervicothoracic mass, with a uniform density and no apparent cysts, diagnosed as a primary thoracic giant tumor. Once the patient was clinically stabilized, we proceeded with right upper lobectomy, using a hemi-clamshell approach, full sternotomy, and anterolateral thoracotomy, on postnatal day 22. Histopathologic examination revealed an 8.5 × 6.5 × 4.0 cm solid mass within the right upper lobe, which was diagnosed as a FLIT. His postoperative recovery was uneventful. The patient was followed up for 1 year, with no complaints or symptoms and no postoperative shoulder dysfunction. Gross total resection of primary thoracic giant tumors can be accomplished in neonates with optimal exposure of the chest cavity using a hemi-clamshell approach.
format	article
author	Yasuhiro Kuroda Hiroaki Fukuzawa Insu Kawahara Keiichi Morita
author_facet	Yasuhiro Kuroda Hiroaki Fukuzawa Insu Kawahara Keiichi Morita
author_sort	Yasuhiro Kuroda
title	Hemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report
title_short	Hemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report
title_full	Hemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report
title_fullStr	Hemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report
title_full_unstemmed	Hemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report
title_sort	hemi-clamshell approach for fetal lung interstitial tumor resection in a neonate: a case report
publisher	Georg Thieme Verlag KG
publishDate	2021
url	https://doaj.org/article/1509b5ed1be64286ac8a5effb7b8323d
work_keys_str_mv	AT yasuhirokuroda hemiclamshellapproachforfetallunginterstitialtumorresectioninaneonateacasereport AT hiroakifukuzawa hemiclamshellapproachforfetallunginterstitialtumorresectioninaneonateacasereport AT insukawahara hemiclamshellapproachforfetallunginterstitialtumorresectioninaneonateacasereport AT keiichimorita hemiclamshellapproachforfetallunginterstitialtumorresectioninaneonateacasereport
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Hemi-Clamshell Approach for Fetal Lung Interstitial Tumor Resection in a Neonate: A Case Report

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