Young man with posterior mediastinal tumor, dangerous complications

From the results of CT scan and MRI of the chest, a large tumor was detected close to the D7 - D11 spine. After consultation, the doctors diagnosed the patient with posterior mediastinal tumor, monitored the neuroma and indicated thoracic endoscopic surgery.

A representative of Bai Chay Hospital ( Quang Ninh ) said that recently, the medical team of the unit had successfully performed endoscopic surgery through the chest to remove a posterior mediastinal tumor located close to the spine, invading the pleura, saving the life of a 38-year-old patient. This is a highly technical, specialized, minimally invasive surgery, helping patients escape the risk of life-threatening complications, reduce pain and recover quickly.

Previously, male patient TVQ (38 years old, residing in Tay Yen Tu commune, Bac Ninh province) had difficulty breathing, fatigue, shortness of breath, difficulty speaking, numbness in the right hand with jerks in the body while sleeping. The condition lasted for many months. However, recently, the chest pain symptoms increased, sometimes waking up with a start, so the patient went to Bai Chay Hospital for examination.

X-ray of the patient's posterior mediastinal tumor.

At the hospital, the young man was clinically examined by doctors and performed in-depth exploratory tests. The results of CT scan and MRI of the chest detected a large tumor (33x90x32mm) located close to the D7 - D11 spine. After consultation, the doctors diagnosed the patient with posterior mediastinal tumor, monitored the neuroma and indicated endoscopic thoracic surgery.

With the support of modern endoscopic surgical equipment, the surgeon approached the tumor measuring about 5x10cm, with a firm density extending from the D7 - D11 spine. After 3 hours, the surgery was safe and successful, completely removing the posterior mediastinal tumor, the lungs expanded well, no air leaks and no lymphatic fluid discharge. After 5 days of surgery, the patient's health recovered well.

As the person who directly performed the surgery for the patient, Dr. Nguyen Manh Hung - Head of the Department of Neurosurgery - Thoracic, Bai Chay Hospital said: The patient's posterior mediastinal tumor is located in a particularly difficult to access position, close to the thoracic spine from D7 - D11. The tumor is located close to the single vein, intercostal neurovascular bundle, ribs, posterior chest wall muscles, the pleura around the tumor has many fibrous adhesions, the upper lobe lung parenchyma is stuck to the chest wall.

The patient had surgery for posterior mediastinal tumor at Bai Chay Hospital and recovered well.

Therefore, the removal of adhesions and endoscopic tumor dissection must be skillful, meticulous and precise to avoid damage to important structures such as: large blood vessels, intercostal nerves, spinal cord, pleura. At the same time, ensure that the surgery is safe, without dangerous complications before, during and after surgery, such as: hemothorax, damage to large blood vessels, damage to the thoracic duct, esophagus, spine - spinal cord, nerve roots, infection, damage to the tracheobronchi, lymphatic leakage...

Successful endoscopic surgery to treat posterior mediastinal tumors helps patients improve their quality of life, avoiding the risk of tumor progression, nerve compression, paralysis, pneumothorax, and life-threatening respiratory failure.

Doctors at Bai Chay Hospital recommend: When patients experience symptoms such as prolonged shortness of breath, chest pain, numbness in the limbs, persistent cough, unexplained fatigue, etc., they should be examined early to detect mediastinal diseases, avoid serious complications and improve treatment effectiveness.

Source: https://suckhoedoisong.vn/nam-thanh-nien-co-khoi-u-trung-that-sau-bien-chung-nguy-hiem-169251204194308595.htm