Case report: awake Chamberlain mediastinotomy under hypnosis to prevent complete airway obstruction and cardiovascular collapse.

ABSTRACT:

Background

Large sized anterior mediastinal masses can be a challenge in thoracic surgery due to the anesthesiological risks. The management of these tumors requires a surgical biopsy to get sufficient tissue for histopathological and immunohistochemical analysis, which are essential for a precise diagnosis and target treatment.

Case description

We report the case of a 45-year-old woman with a persistent cough and fatigue lasting 2 months. A chest computed tomography (CT) scan revealed a large anterior mediastinal mass. An initial biopsy diagnosed this patient with myeloid sarcoma. However, a further biopsy of fresh tissue was necessary to characterize the tumor to initiate targeted treatment. To avoid complete airway obstruction and cardiovascular collapse due the compressi

SUBMITTER: Simioni L 

PROVIDER: S-EPMC12518593 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature