Rasiklal M Dhariwal Heart Care and Research Center of Ram Mangal Heart Foundation is, one of the Pune's best cardiothoracic surgical centres, founded by Dr Ranjit Jagtap. In November 2021, he successfully operated on a woman with a large chest tumour.
Mediastinal masses are a broad category of tumours and
pseudo-tumours that can affect any of the mediastinum's compartments.
Neurogenic tumours (20 percent of mediastinal tumours) are the most prevalent,
usually found in the posterior mediastinum, followed by thymoma (15-20 percent)
in the anterior mediastinum. Surgical excision of mediastinal masses usually
results in a positive outcome.
History
A 52-year-old female patient was suffering with chest pain
and shortness of breath when she was brought to the hospital.
Observations
They discovered that the patient had a massive mass
encompassing more than 60% of the chest cavity and was putting pressure on the
heart and lungs after doing X-rays, CT scans, and all pathology reports.
During surgery
After successfully operating the patient, an enormous mass
of total 6kg in weight and total 30cm in length was removed from the chest
cavity during surgery.
The patient was discharged in good health. The surgery went
well. Dr.
Ranjit Jagtap and his team did an incredible job, and this case of
anterior mediastinal mass excision was one of several they saw in their hospital.
Because this condition is seldom encountered in clinical
settings and tends to be asymptomatic until compression symptoms emerge, which
leads to mediastinal mass syndrome, there have been few research on big
anterior mediastinal masses (MMS). This is a significant challenge in patient
care throughout the perioperative period. There aren't many centres with
interdisciplinary teams of thoracic surgeons, anesthesiologists, and
oncologists to deal with such difficult situations.
Conclusion
In this series, the positive outcome of definitive surgery
implies clinical viability and reasonable short-term safety. The successful
treatment of this condition required a multidisciplinary approach with
sufficient preoperative assessment, intraoperative preparation, and short- and
long-term postoperative care.
Ram Mangal Heart Foundation is a complete thoracic surgery
centre with the ability to manage such patients with positive outcomes.
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