Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Huge Intraabdominal and Thoracic Desmoid Tumor -Surgical experience in one case -

복강 및 흉강 내 거대 데스모이드 종양 수술 치험 1예

  • 김경화 (전북대학교 의과대학 흉부외과학교실) ;
  • 서연호 (전북대학교 의과대학 흉부외과학교실) ;
  • 구자홍 (전북대학교 의과대학 흉부외과학교실) ;
  • 김민호 (전북대학교 의과대학 흉부외과학교실)
  • Published : 2003.08.01
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Abstract

Desmoid tumors are benign neoplasms with high rates of recurrence. A case of huge desmoid tumor of the intrathoracic and intraabdominal space is presented. The patient was treated with resection, which involved hepatic left lobectomy and diaphragmatic resection and partial pericardiectorny and wedge resection of left lower lobe of lung. The resulting defect over the pericarium and diaphragm was reconstructed by bovine pericardium and Marlex mesh. Prevention of presumed local recurrence of desmoid tumors requires wide excision margin.

데스모이드는 재발빈도가 높은 양성 종양이다. 본 저자들은 흉강 및 복강에 걸쳐 있는 거대한 데스모이드를 충분한 절단면을 확보한 후 절제하고 간좌엽절제술, 좌폐하엽 쐐기절제술, 부분적 심막절제술 후 우심막을 이용하여 심막재건술을 시행하였고 횡격막을 부분 절제한 후 마렉스 메쉬로 횡격막 재건술을 시행하였다.

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References

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