Video-assisted removal of a giant lymphogenic tumor of the anterior mediastinum - a clinical case

Khmara Artem Dmitrievich, Sukharev Roman Viktorovich, Lebedev Maxim Sergeevich

Mediastinal tumors are one of the most difficult sections of thoracic surgery and oncology. The problem of giant mediastinal neoplasms remains less studied. The difficulty of diagnosing formations in this area is associated with a variety of morphological forms, anatomical features, non–specificity of the clinical picture, and with giant sizes - with the difficulties of precise localization of the tumor, its prevalence and connection with surrounding organs and tissues. In our opinion, this case deserves special attention, due to the fact that there are isolated mentions of giant formations of the anterior mediastinum in the literature, in addition, there are currently no standard approaches to the treatment of patients with this pathology. Despite the technical difficulties associated with the localization of pathological formation, infiltration of vital organs and tissues, which required lightning-fast decision-making in choosing surgical tactics, it was almost completely possible to remove a giant tumor of the anterior mediastinum in a 37-year-old patient.

Keywords:tumor, anterior mediastinum, surgical treatment, videothoracoscopy.