Metastatic osteosarcoma: A case report on bilateral standard thoracotomy in a child

Abstract

Introduction: Malignant cells from different organs after entering through peripheral blood circulation system trap into the first capillary bed in the lungs. Presentation of case: A 11-year-old boy with osteosarcoma in right leg was amputated. He had brain and lung metastasis. He underwent chemotherapy and resection of lung nodules with bilateral thoracotomy in two different phases. The patient was discharged in the healthy condition and clear chest radiography. Conclusion: The resection of the adenopathy at the mediastina and hilum pulmonis along with assessment of the hormonal receptors is recommended to determine the stage of the diseases. Highlights:

Physiologic function of mediastinum space

“…The mediastinum is known to house important cardiopulmonary structures in the thoracic cavity. Owing to the structural composition of mediastinum [ 13 ], the range of functions and clinical presentations is Broadfield [ 14 , 15 ]. Different divisions of mediastinum can develop benign or malignant tumors, based on the structure in the region [ 3 ].…”

Unilateral repair of tracheoesophageal fistula with dilatation of incomplete subglottic stenosis

“…Tracheoesophageal fistula (TEF) is a rare complication that can be due to tumor extension from the mediastinum or tracheoesophageal injury as a result of endotracheal intubation, 1,2 bronchoscopy, 3 and endoscopy 4 . It is characterized with high risk of respiratory failure therefore requires urgent management 5,6 . Nonoperative mortality rate is 80% in TEF patients 7 .…”

Cardiopulmonary bypass for resection of pancoast tumor with mediastinal extension and involvement of right bronchial branch: A case report

“…In such cases, the cardiopulmonary pump machine is recommended to be used, so that the pneumonectomy surgery with the simultaneous resection of Pancoast tumor, mediastinal lymph nodes, hilum of the lung and sub carina can be successfully conducted [ 4 ]. In large lung tumors which are benign, due to vast extension and involvement of vital organs, cardiopulmonary shift and the collapse of the involved lung during the surgery is highly possible and can be life threatening [ 5 ].…”