Analysis on effect of surgical treatment on thoracic giant tumors:a report of 33 cases

REN Dewang; MIAO Libin; WANG Zhiyuan; LU Weiqiang; MA Runyang; DOU Xuejun

doi:10.3969/j.issn.1674-3806.2025.07.16

Abstract：Objective To analyze the clinical characteristics and surgical treatment effects of 33 patients with thoracic giant tumors.Methods A retrospective analysis was conducted on the clinical data of 33 patients with thoracic giant tumors who underwent surgical treatment in the Department of Thoracic Surgery of Aerospace Center Hospital from March 2015 to June 2023.The clinicopathological characteristics,selection of surgical incisions and prognosis of the patients were summarized.Results Among the 33 patients,11 patients were male and 22 patients were female.There were 7 asymptomatic patients and 26 symptomatic patients.The main part of the tumors was located in the left chest in 3 patients,in the right chest in 1 patient,and in the mediastinum in 29 patients.The postoperative pathological results showed that there were 19 cases of benign tumors and 14 cases of malignant tumors.The operations of 19 patients were completed through the median incision of the chest and longitudinal splitting sternums.The surgical options for 7 patients were to enter the chest through the posterolateral incision.Three patients underwent minimally invasive thoracoscopic surgery.The surgical options for 4 patients were low-collar arc-shaped incision.One patient with malignant tumor died during the perioperative period.Re-expansion pulmonary edema occurred in 2 cases after the operation.Thirteen patients with malignant tumors received adjuvant chemotherapy or radiotherapy after the operation,among whom 4 patients died due to tumor recurrence and metastasis.The patients were followed up until January 2024,and 28 patients survived healthily.Conclusion Surgical operation is an effective method for treating thoracic giant tumors,which can make the most patients achieve good long-term outcomes.However,due to the particularity of thoracic giant tumors,thorough assessment and preparation are required before the operation.During the operation,the safety of the heart and other important organs must be ensured.After the operation,attention should be paid to the occurrence of serious complications.