A case of spindle cell sarcoma of the middle mediastinum: Successful resection following chemotherapy

Abstract

Soft tissue tumors of the mediastinum are rare among mediastinal tumors. We report a case of middle mediastinal spindle cell sarcoma resected after chemotherapy. The patient was a 59-year-old male in good health. He was referred to his family physician with an abnormal chest nodule pointed out on a chest radiograph as part of a health check-up. He was diagnosed with a middle mediastinal tumor, and was referred to our department. A neurogenic tumor was suspected based on the results of an EUS-guided fine-needle biopsy. We decided that curative resection was difficult, and performed systemic chemotherapy. After the chemotherapy and embolization of the feeding artery, he underwent resection of the tumor with combined resection of the right middle and lower lobe of the lung and a part of the muscular layer of the esophagus. The postoperative course was uneventful. He is presently in good health without any signs of recurrence.