A 94-year-old man with cough presented with a large intrathoracic mass at thoracic imaging. Biopsy indicated a sarcomatous malignancy. There was no radiographic or clinical evidence of metastatic spread. Medical and radiation oncologists believed that chemotherapy and/or radiotherapy would be ineffective. Video-assisted thoracoscopic exploration, followed by left hemiclamshell sternothoracotomy allowed resection of the mass en bloc without complication. Histopathologic review showed a malignant peripheral nerve sheath tumor, a rare soft-tissue sarcoma subtype, and a rare etiology of an intrathoracic mass.
- malignant peripheral nerve sheath tumor
- rapidly growing mediastinal mass
- thoracic surgery
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Critical Care and Intensive Care Medicine