Exéresis de timoma gigante adherido al pericardio y pulmón izquierdo

Abstract

Thymoma is an uncommon condition characterized by being the most frequent neoplasm of the anterior mediastinum. It classically appears as a well-demarcated, lobulated tumor mass encapsulated by a fibrous capsule. A 46-year-old female was diagnosed with thymoma by aspiration biopsy. Surgery was performed through a median sternal incision. The left location of the tumor required the placement of the mammary artery retractor to achieve better exposure. The cancer was freed from adhesions to the pericardium, lung and left pleura. Blood vessel ligation was performed at the level of the left brachycephalic venous trunk, pericardium and in the medial anterior region related to thymic vessels. Total removal of the tumor was achieved with excellent postoperative evolution. Keywords: Chest tumor, thymoma, median sternotomy.