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Ann Thorac Surg 2005;79:1413-1415
© 2005 The Society of Thoracic Surgeons

Case report

A Rare Inferior Middle Mediastinal Tumor Resection Under Extra-Corporeal Circulation

Mehrdad Arab, MDa, Claire Danel, MDb, Nicola d'Attellis, MDc, Karine Juvin, MDd, Anne Hernigou, MDe, Jean Noel Fabiani, MDf, Marc Riquet, MD, PhD*,a

a Thoracic Surgery, Paris, France
b Pathology, Paris, France
c Anesthesia and Critical Care, Paris, France
d Pulmonary Medicine, Paris, France
e Radiology, Paris, France
f Cardiovascular Surgery, Hôpital Européen Georges Pompidou, Paris, France

Accepted for publication October 2, 2003.

* Address reprint requests to Dr Riquet, Service de Chirurgie Thoracique, Hôpital Européen Georges Pompidou, 20 Rue Leblanc, Paris 75015, France
marc.riquet{at}hop.egp.ap-hop-paris.fr

An inferior middle mediastinal mass was observed in a 51-year-old woman initially presenting as pericardial effusion and mimicking lymph node disease. Thoracotomy demonstrated a tumor invading the posterior atrial wall. Complete resection was possible under the extracorporeal circulation. The tumor proved to be a soft tissue myoepithelioma in an exceptional location. Despite the difficult surgical resection due to location, prognosis of this absolutely rare tumor without cytologic features of malignancy should be good.






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