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Eur J Cardiothorac Surg 2003;24:168-170
© 2003 Elsevier Science NL

Case report

Pulmonary infiltration from retroperitoneal carcinoma requiring diaphragm, chest wall and lung resection after thoracoabdominal access

A. Bini, M. Grazia, F. Petrella*, R. Bazzocchi

Department of General and Thoracic Surgery, ‘S. Orsola – Malpighi’ Hospital, University of Bologna, Via Massarenti 9, Bologna I-40138, Italy

Received 10 January 2003; received in revised form 16 March 2003; accepted 21 March 2003.

* Corresponding author. Tel.: +39-038-823-1311
e-mail: fpetrella{at}libero.it

Primary retroperitoneal carcinoma is a rare but highly aggressive tumour often resulting in infiltration of abdominal organs and diaphragm. We describe a case of retroperitoneal carcinoma infiltrating the diaphragm, the lower lobe of the left lung and ribs IX and X, but sparing the abdominal organs. After thoracoabdominal access, our patient underwent resection of the retroperitoneal carcinoma, left hemidiaphragm and ribs IX and X with wedge resection of the left lower lobe. Haematogenous lung metastasis from retroperitoneal carcinoma is well known; on the contrary, direct transdiaphragmatic lung invasion is very rare and requires thoracoabdominal access for a one step operation, representing one of the most stimulating challenges for thoracic surgeons.

Key Words: Retroperitoneal carcinoma • Thoracoabdominal access • Transdiaphragmatic lung infiltration






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Copyright © 2003 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.