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Raja M. Flores
Daniel J. Goldstein
Kenneth M. Steinglass
Samuel Weinstein
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Ann Thorac Surg 1998;65:833-835
© 1998 The Society of Thoracic Surgeons

Case Reports

Transthoracic, Transdiaphragmatic Excision of Simultaneous Lung and Adrenal Lesions

Raja M. Flores, MD, Daniel J. Goldstein, MD, Randall S. Sung, MD, Kenneth M. Steinglass, MD, Samuel Weinstein, MD, John A. Chabot, MD

Division of General Surgery, College of Physicians & Surgeons, Columbia University, New York, New York, USA
Division of Cardiothoracic Surgery, Department of Surgery, College of Physicians & Surgeons, Columbia University, New York, New York, USA

Accepted for publication October 7, 1997.

Dr Flores, Department of Thoracic Surgery, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115.

Simultaneous adrenal and pulmonary lesions frequently present a therapeutic challenge to the thoracic surgeon. We describe 2 cases in which a transthoracic, transdiaphragmatic approach was used to establish tissue diagnosis and complete removal of gross tumor. In 1 case an intraoperative decision to perform a pneumonectomy was dictated by the tissue diagnosis of the adrenal mass, which was obtained with relative ease via this method. In both cases the morbidity of traditional approaches for adrenal operation was avoided.






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