2017 Volume 31 Issue 7 Pages 957-962
This study describes a case of superior mediastinal paraganglioma resected using a modified transmanubrial approach. A 42-year-old woman was referred to the authors' hospital for a mediastinal tumor that was found on examination of left mastopathy. Chest computed tomography revealed a 48×45-mm heterogeneous mass in the superior mediastinum.
Fluorodeoxyglucose-positron emission tomography (FDG-PET) showed an abnormal uptake of FDG in the mass with a maximal standardized-uptake value (SUV max) of 8.52, which was suspected to be a malignant tumor. The left common carotid artery and left subclavian artery were running in the suspected tumor, which showed no invasion of the surrounding organs. The tumor was resected completely using a modified transmanubrial approach. Pathological examination confirmed the resected mass to be a paraganglioma. The modified transmanubrial approach was useful for resecting the superior mediastinal tumor, whose location is difficult to observe.
