Thoracoscopic excision of pediatric thymic cysts
Introduction: Thymic cysts are rare lesions that may be congenital or acquired, and should be considered in the differential diagnosis in pediatric neck-thoracic masses. They are most of the time asymptomatic, presenting as slow-growing, painless masses. Evolution is generally benign, however surgic...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-11-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221357662100261X |
| _version_ | 1819114813708566528 |
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| author | Fabiano Nino Giulia Fusi Edoardo Bindi Michele Ilari Carmine Noviello Giovanni Torino Giovanni Cobellis |
| author_facet | Fabiano Nino Giulia Fusi Edoardo Bindi Michele Ilari Carmine Noviello Giovanni Torino Giovanni Cobellis |
| author_sort | Fabiano Nino |
| collection | DOAJ |
| description | Introduction: Thymic cysts are rare lesions that may be congenital or acquired, and should be considered in the differential diagnosis in pediatric neck-thoracic masses. They are most of the time asymptomatic, presenting as slow-growing, painless masses. Evolution is generally benign, however surgical excision is considered the first choice for treatment, and could be performed via open technique (sternotomy) or with minimally invasive technique (thoracoscopy). Both techniques are safe and present little risk of postoperative recurrence, although thoracoscopic approach presents some advantages in terms of reduced postoperative pain, reduced surgical time and reduced length of hospital stay. Case series: A retrospective review of medical records of all patients admitted to our center in the last 5 years for surgical treatment for thymic cysts was performed. We recorded and evaluated clinical data, surgical data and follow-up data. In the reference period 3 patients were admitted with thymic cysts at our center. They all underwent complete minimally invasive excision by video assisted thoracoscopic surgery (VATS). Histopathological analysis revealed in 2 cases multilocular thymic cysts and in 1 case cystic thymic teratoma. Mean follow-up was 21 months. In the follow-up period any patients developed sympthoms, complications or relapses. Conclusion: According to our experience, thoracoscopic approach to thymic cyst is feasible, safe and allows a radical treatment of lesion offering excellent cosmetic results. |
| first_indexed | 2024-12-22T04:51:16Z |
| format | Article |
| id | doaj.art-37640a9140fc4d0dbc6f905f68ba6b8c |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-22T04:51:16Z |
| publishDate | 2021-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-37640a9140fc4d0dbc6f905f68ba6b8c2022-12-21T18:38:29ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662021-11-0174102040Thoracoscopic excision of pediatric thymic cystsFabiano Nino0Giulia Fusi1Edoardo Bindi2Michele Ilari3Carmine Noviello4Giovanni Torino5Giovanni Cobellis6Pediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Salesi Children's Hospital, Ancona, ItalyPediatric Surgery Unit, Marche Polytechnic University, Salesi Children Hospital, Ancona, Italy; Corresponding author.Introduction: Thymic cysts are rare lesions that may be congenital or acquired, and should be considered in the differential diagnosis in pediatric neck-thoracic masses. They are most of the time asymptomatic, presenting as slow-growing, painless masses. Evolution is generally benign, however surgical excision is considered the first choice for treatment, and could be performed via open technique (sternotomy) or with minimally invasive technique (thoracoscopy). Both techniques are safe and present little risk of postoperative recurrence, although thoracoscopic approach presents some advantages in terms of reduced postoperative pain, reduced surgical time and reduced length of hospital stay. Case series: A retrospective review of medical records of all patients admitted to our center in the last 5 years for surgical treatment for thymic cysts was performed. We recorded and evaluated clinical data, surgical data and follow-up data. In the reference period 3 patients were admitted with thymic cysts at our center. They all underwent complete minimally invasive excision by video assisted thoracoscopic surgery (VATS). Histopathological analysis revealed in 2 cases multilocular thymic cysts and in 1 case cystic thymic teratoma. Mean follow-up was 21 months. In the follow-up period any patients developed sympthoms, complications or relapses. Conclusion: According to our experience, thoracoscopic approach to thymic cyst is feasible, safe and allows a radical treatment of lesion offering excellent cosmetic results.http://www.sciencedirect.com/science/article/pii/S221357662100261XThymusThymic cystsThoracoscopyChildren |
| spellingShingle | Fabiano Nino Giulia Fusi Edoardo Bindi Michele Ilari Carmine Noviello Giovanni Torino Giovanni Cobellis Thoracoscopic excision of pediatric thymic cysts Journal of Pediatric Surgery Case Reports Thymus Thymic cysts Thoracoscopy Children |
| title | Thoracoscopic excision of pediatric thymic cysts |
| title_full | Thoracoscopic excision of pediatric thymic cysts |
| title_fullStr | Thoracoscopic excision of pediatric thymic cysts |
| title_full_unstemmed | Thoracoscopic excision of pediatric thymic cysts |
| title_short | Thoracoscopic excision of pediatric thymic cysts |
| title_sort | thoracoscopic excision of pediatric thymic cysts |
| topic | Thymus Thymic cysts Thoracoscopy Children |
| url | http://www.sciencedirect.com/science/article/pii/S221357662100261X |
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