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Ann Thorac Surg 2003;75:1643-1645
© 2003 The Society of Thoracic Surgeons

Case report

Intrapleural tumor dissemination after video-assisted thoracoscopic surgery metastasectomy

Keng Leong Ang, MRCSa, Carol Tan, MRCSa, Michael Hsin, FRCSa, Peter Goldstraw, MD, FRCSa*

a Department of Thoracic Surgery, Royal Brompton Hospital, London, United Kingdom

Accepted for publication September 27, 2002.

* Address reprint requests to Dr Goldstraw, Department of Thoracic Surgery, Royal Brompton Hospital, London SW3 6NP, United Kingdom.

In a 34-year-old woman extensive intrapleural disease developed within 1 year of video-assisted thoracoscopic surgery (VATS) removal of two pulmonary metastases from a previously treated synovial sarcoma. She underwent a successful complete pleurectomy through a left thoracotomy to excise the pleural tumor and remains well 6 months later. This case highlights tumor dissemination as one of the pitfalls of VATS metastasectomy and raises concerns about using VATS in this situation.




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