Surgical resection of a massive primary mediastinal liposarcoma using clamshell incision combined with lower median sternotomy: Report of a case

Yutaka Hirano, Hiromasa Yamamoto, Koichi Ichimura, Shinichi Toyooka, Shinichiro Miyoshi

Research output: Contribution to journalArticle

5 Citations (Scopus)


We experienced a case of massive mediastinal liposarcoma expanding to the bilateral pleural cavities. Preoperative positron emission tomography-computed tomography scan showed that the uptake of 18F-fluorodeoxyglucose (FDG) into the tumor was slight for its size. Clamshell incision together with lower median sternotomy provided the excellent visualization and the complete resection of the tumor. The surgical resection should be performed even for a massive liposarcoma, especially if the uptake of F-FDG into the tumor is low, as complete surgical resection is the only definitive treatment for liposarcoma.

Original languageEnglish
Pages (from-to)606-608
Number of pages3
JournalAnnals of Thoracic and Cardiovascular Surgery
Publication statusPublished - Jan 1 2014



  • Clamshell incision
  • Lower median sternotomy
  • Mediastinal liposarcoma
  • Positron emission tomography-computed tomography

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Gastroenterology

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