A Methotrexate-Associated Malignant Lymphoma with Laparoscopic Resection of the Pericardium
Hayashi, Y.; Matsuo, Y.; Ueda, G.; Omi, K.; Imafuji, H.; Saito, K.; Shamoto, T.; Tsuboi, K.; Morimoto, M.; Takahashi, H.; Ishiguro, H.; Miyabe, K.; Naitoh, I.; Hayashi, K.; Takiguchi, S.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 45(13): 2441-2443
2018
ISSN/ISBN: 0385-0684 PMID: 30692491 Document Number: 695174
We report a case of a malignant lymphoma that was treated with laparoscopic resection of the pericardium. A 43-year-old woman was diagnosed with asymptomatic extrahepatic nodule by medical examination. CT, MRI, and PET-CT examination indicated a solitary fibrous tumor(SFT). Therefore, we performed laparoscopic resection for definitive diagnosis and treatment. The tumor was located in the upper abdominal wall and adhered to the liver; hence, we additionally performed partial resection of the liver. Thereafter, we dissected the tumor from the abdominal wall alongwith a part of the diaphragm. Because intraoperative pathological examination revealed more malignancy than was preoperatively expected, we also resected a part of the pericardium. The laparoscopic approach to the pericardium can be performed safely because of its magnification effect, which is an advantage of laparoscopic surgery.