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Ann Thorac Surg 2003;75:1645-1648
© 2003 The Society of Thoracic Surgeons

Case report

Malignant "triton" tumor of the posterior mediastinum: prolonged survival after staged resection

Loïc Lang-Lazdunski, MD, PhDa,*, François Pons, MDa, René Jancovici, MDa

a Department of Thoracic Surgery, Percy Military Hospital, Clamart, France

Accepted for publication November 13, 2002.

* Address reprint requests to Dr Lang-Lazdunski, Service de Chirurgie Thoracique, Hôpital d’instruction des Armées Percy, 101 avenue Henri Barbusse, BP406, 92141 Clamart Cedex, France (Email: loic.lang{at}wanadoo.fr).

Malignant "Triton" tumor is a rare subtype of malignant peripheral nerve sheath tumor showing rhabdomyoblastic differentiation. We report the case of a 22-year-old patient who had excision of such a tumor by video-assisted thoracic surgery. He was reoperated on by thoracotomy 2 months later and received adjuvant radiation, with prolonged survival. Radical surgical excision of malignant Triton tumor followed by adjuvant radiation therapy may provide the longest survival and represent the treatment of choice.




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