Ruptured metastatic liver tumor secondary to a thymoma: a case report.

Autor: Utsunomiya T; Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Sakamoto K; Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Tsukamoto D; Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Shine M; Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Nishi Y; Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Matsui T; Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Tamura K; Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Inoue H; Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Takai A; Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Ogawa K; Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Sunago K; Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Hiasa Y; Department of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Sakao N; Departments of Thoracic Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Shigematsu H; Departments of Thoracic Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Sano Y; Departments of Thoracic Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Kurata M; Department of Pathology, Ehime University Proteo-Science Center and Graduate School of Medicine, Toon, Ehime, Japan., Fukushima M; Division of Diagnostic Pathology, Ehime University Hospital, Toon, Ehime, Japan., Kitazawa R; Division of Diagnostic Pathology, Ehime University Hospital, Toon, Ehime, Japan., Kitazawa S; Department of Molecular Pathology, Ehime University Graduate School of Medicine, Toon, Ehime, Japan., Takada Y; Department of Hepato-Biliary-Pancreatic and Breast Surgery, Ehime University Graduate School of Medicine, Toon, Ehime, Japan.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2021 Aug 14; Vol. 2021 (8), pp. rjab341. Date of Electronic Publication: 2021 Aug 14 (Print Publication: 2021).
DOI: 10.1093/jscr/rjab341
Abstrakt: We report a case of rupture of a synchronous metastatic liver tumor secondary to a thymoma. A 56-year-old woman was referred to our hospital with acute abdomen. Computed tomography (CT) revealed a 10 cm diameter tumor in the left lateral segment of the liver, together with ascites, which was suggestive of intra-abdominal bleeding. She was in stable condition and hemostasis was confirmed by angiography. CT also revealed a mass in the anterior mediastinum. Elective laparoscopic left lateral segmentectomy was performed to make a pathological diagnosis and for radical resection. No peritoneal dissemination was observed and the liver tumor was curatively resected. The patient subsequently underwent thymectomy. The pathological diagnoses were thymoma with the liver metastasis. Currently, at 30 months post-treatment, she has had no tumor recurrence. Rupture of a metastatic liver tumor secondary to a thymoma is a rare condition; careful preoperative management and aggressive treatment might improve the patient's prognosis.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021.)
Databáze: MEDLINE
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