1998 Volume 12 Issue 6 Pages 691-696
A-31-old female was admitted to hospital because of fever and pointed out an abnormal shadow in her right pulmonary hilum on chest X-ray. Computed tomographic scan demonstrated a smooth-edged homogeneous posterior mediastinal mass measuring 6.0 × 5.9 × 3.2 cm in right side of the fifth and sixth thoracic vertebrae. Benign solitary fibrous tumor of the pleura was suspected by percutaneous needle biopsy. Video-assisted thoracoscopic removal was performed through three parts. After tumor dissection from the posterior mediastinum, we divided the tumor into 6 parts in the Endo-Catch®. They were removed from the chest cavity through the port with only 4cm skin incision. She made favorable progress after the operation.
Although the indication of video-assisted thoracic surgery for benign tumors has recently expanded, the additional small thoracotomy is necessary for removing a large solid tumor. We reported a case with benign localized fibrous tumor of the pleura, which was successfully removed by using the Endo-Catch® and a minimizing skin incision.