Medicina pulmonar y respiratoria

Cervico-Thoracic Approach for a Large Desmoid Tumor

Abstract

Zribi H, Bouassida I, Saad A, Abdelkbir A*, Ayadi A, and Marghli A

Intrathoracic desmoid tumors are very rare. We report a case of a 35-year-old woman, who had dyspnea and dysphagia. The imaging studies showed a voluminous mass tissue occupying the thoracic outlet and extending to the medium mediastinum. A scanno-guided percutaneous needle biopsy initially concluded to a solitary fibrous tumor of the pleura. Surgery was decided. The approach of this voluminous apical and intra thoracic mass was challenging. Complete resection was successfully performed by Cormier Dartevelle Grunenwald’s route. Final pathology was consistent with desmoid fibromatosis. The post-operative course was uneventful.