naa a22 4500 510728499 CHVBK 20180411082944.0 cr unu---uuuuu 180411e20130801xx s 000 0 eng 10.1007/s11748-012-0147-7 doi (NATIONALLICENCE)springer-10.1007/s11748-012-0147-7 Successful surgical resection of leiomyoma obstructing the trachea [Elektronische Daten] [Kaoru Kaseda, Masaki Anraku, Taichiro Goto, Takashi Ohtsuka, Mitsutomo Kohno, Yotaro Izumi, Yuichiro Hayashi, Hiroaki Nomori] We report a case of 51-year-old woman with a severely airway-obstructing leiomyoma who underwent successful tracheal resection. A preoperative tumor biopsy was avoided not to cause any risk of suffocation. At surgery, an endotracheal intubation distal to the tumor was achieved with a bronchoscopic guidance. A segmental resection of the trachea with a primary end-to-end anastomosis was performed via a half-splitting median sternotomy. Negative surgical margins for tumor were confirmed intraoperatively. Final pathological diagnosis was a primary tracheal leiomyoma. Definitive surgical resection is a treatment of choice for such airway-obstructing, wide-based leiomyoma. Although a bronchoscopic removal of the tumor is an alternative choice, the risks of suffocation, positive surgical margins, and perforation of the trachea need to be carefully discussed if it is considered. The Japanese Association for Thoracic Surgery, 2012 Leiomyoma nationallicence Trachea nationallicence Tracheal resection nationallicence Tracheal reconstruction nationallicence Kaseda Kaoru Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut Anraku Masaki Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut Goto Taichiro Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut Ohtsuka Takashi Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut Kohno Mitsutomo Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut Izumi Yotaro Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut Hayashi Yuichiro Division of Pathology, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut Nomori Hiroaki Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut General Thoracic and Cardiovascular Surgery Springer Japan 61/8(2013-08-01), 476-478 1863-6705 61:8<476 2013 61 11748 https://doi.org/10.1007/s11748-012-0147-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11748-012-0147-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kaseda Kaoru Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Anraku Masaki Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Goto Taichiro Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Ohtsuka Takashi Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Kohno Mitsutomo Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Izumi Yotaro Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Hayashi Yuichiro Division of Pathology, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 700 1- Nomori Hiroaki Division of General Thoracic Surgery, School of Medicine, Keio University, 35 Shinanomachi Shinjuku-ku, 160-8582, Tokyo, Japan aut NATIONALLICENCE 773 0- General Thoracic and Cardiovascular Surgery Springer Japan 61/8(2013-08-01), 476-478 1863-6705 61:8<476 2013 61 11748 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer