Ahn S, Moon Y. Uniportal video-assisted thoracoscopic fissureless right upper lobe anterior segmentectomy for inflammatory myofibroblastic tumor: A case report. World J Clin Cases 2024; 12(2): 425-430 [PMID: 38313647 DOI: 10.12998/wjcc.v12.i2.425]
Corresponding Author of This Article
Youngkyu Moon, MD, PhD, Associate Professor, Thoracic and Cardiovascular Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, No. 1021 Tongil-ro, Eunpyeong-gu, Seoul 03312, South Korea. mykae@catholic.ac.kr
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jan 16, 2024; 12(2): 425-430 Published online Jan 16, 2024. doi: 10.12998/wjcc.v12.i2.425
Uniportal video-assisted thoracoscopic fissureless right upper lobe anterior segmentectomy for inflammatory myofibroblastic tumor: A case report
Seha Ahn, Youngkyu Moon
Seha Ahn, Youngkyu Moon, Department of Thoracic and Cardiovascular Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, South Korea
Author contributions: Ahn S performed the literature search and wrote the preliminary manuscript; Moon Y performed the surgery; Ahn S assisted in the surgery; all authors reviewed the manuscript draft and revised it critically on intellectual content; all authors approved the final version of the manuscript to be published.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Youngkyu Moon, MD, PhD, Associate Professor, Thoracic and Cardiovascular Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, No. 1021 Tongil-ro, Eunpyeong-gu, Seoul 03312, South Korea. mykae@catholic.ac.kr
Received: October 23, 2023 Peer-review started: October 23, 2023 First decision: November 21, 2023 Revised: November 25, 2023 Accepted: December 27, 2023 Article in press: December 27, 2023 Published online: January 16, 2024
Abstract
BACKGROUND
Inflammatory myofibroblastic tumors (IMTs) are exceptionally rare neoplasms with intermediate malignant potential. Surgery is the accepted treatment option, aiming for complete resection with clear margins.
CASE SUMMARY
A 39-year-old woman presented with a growing solitary pulmonary nodule measuring 2.0 cm in the right upper lobe (RUL) of the lung. The patient under-went a RUL anterior segmentectomy using uniportal video-assisted thoracoscopy. A preliminary tissue diagnosis indicated malignancy; however, it was later revised to an IMTs. Due to the absence of a minor fissure between the right upper and middle lobes, an alternative resection approach was necessary. Therefore, we utilized indocyanine green injection to aid in delineating the intersegmental plane. Following an uneventful recovery, the patient was discharged on the third postoperative day. Thereafter, annual chest tomography scans were scheduled to monitor for potential local recurrence.
CONCLUSION
This case underscores the challenges in diagnosing and managing IMTs, showing the importance of accurate pathologic assessments and tailored surgical strategies.
Core Tip: Inflammatory myofibroblastic tumors are rare neoplasms with intermediate malignant potential. Accurate diagnosis and tailored surgical strategies are crucial for successful management. This case highlights the challenges in diagnosing and treating such tumors, emphasizing the importance of precise pathological assessment and individualized surgical approaches.
