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Ann Thorac Surg 1995;59:215-216
© 1995 The Society of Thoracic Surgeons

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Articles

Tumor implants after thoracoscopic resection of a metastatic sarcoma

Department of Thoracic and Cardiovascular Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA

Accepted for publication July 14, 1994.

^* Address reprint requests to Dr Walsh, Department of Thoracic and Cardiovascular Surgery, M. D. Anderson Cancer Center, 1515 Holcombe Blvd, Box 109, Houston, TX 77030.

Tumor implantation after video-assisted thoracic operations is rare. We describe the case of a 61-year-old woman who underwent an apparently uneventful thoracoscopic resection of a solitary pulmonary metastasis from a primary limb sarcoma. Within 3 months, extensive trocar and diaphragmatic implants developed that required an extensive en bloc resection of her chest wall, diaphragm, and lung. Because of the aggressive biologic behavior of sarcomas and their potential to grow in surgical tracts, concern is raised about the advisability of using videoassisted thoracic surgical techniques in the management of these tumors.

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