- Surgery
- Radiation Therapy
- Medical Oncology
- Surgical resection- The most appropriate surgical approach for resection of a mediastinal mass depends upon the patient, the location and size of the lesion, the presumptive diagnosis, and the preference and experience of the surgeon performing the resection. Options for surgical resection include minimally invasive approaches include:
- VATS through the chest or via subxiphoid approach, robot-assisted, trans-cervical resection)
- Traditional open approaches (thoracotomy, median sternotomy, thoraco-sternotomy [clamshell], hemi-thoracosternotomy [hemi-clamshell] incisions).
- VATS plays a major role in mediastinal tumors. It is a safe procedure. It can be done with either one to three keyhole incisions. The patient can be discharged after one day’s stay. An advanced VATS is done when we excise larger tumors with vascular resections and reconstructions.
-
RATS
has a cutting edge over conventional VATS, where the surgery is done in areas that are otherwise inaccessible owing to increased precision. -
HITOC
Hyperthermic Intrathoracic Chemotherapy is a local intraoperative perfusion of the thoracic cavity with chemotherapeutic agents after surgical cyto-reduction of malignant tumors. It is particularly carried out as an additive procedure in malignant pleural mesothelioma, Thymoma with pleural spread, and secondary pleural carcinomatosis in select patients.
