Multiple pleuropericardial implants of thymoma after videothoracoscopic resection
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Updated: Jun 10, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Jacopo Vannucci1, Roberta Pecoriello, Mark Ragusa
1Thoracic Surgery Unit, University of Perugia Medical School, Ospedale S. Maria della Misericordia, Perugia, Italy. jacopovannucci@tiscali.it
Abstract:
The case of a 49-year-old man with multiple pleuropericardial implants of B2 thymoma is reported. Two years earlier, the patient had undergone left videothoracoscopic (VATS) resection of a 6-cm thymoma in another hospital. The operative report describes a technically correct procedure with morcellation of the lesion within a retrieval thoracoscopic bag. Through a standard thoracotomy, 11 implants were resected with macroscopically complete tumor removal. The origin of cell spillage was ascribed to manipulation of the thymoma during VATS resection.
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