{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:01Z","timestamp":1753877161993,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T00:00:00Z","timestamp":1717027200000},"content-version":"vor","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A 37-year-old male, with a 5-year history of liposarcoma of the right thigh, was incidentally diagnosed with two huge thoracic metastases following a fall. One of these masses, measuring 22\u00a0cm, was located in the right chest apex, adjacent to a second 20\u00a0cm mass situated in the anterior mediastinum, partially invading the left chest. The patient underwent surgical intervention for mass resection that commenced with a hemi-clamshell incision, but was then extended by completing the lower median sternotomy in order to create a T shaped incision. This type of incision provides ample access for large mediastinal tumors that extensively extend into one side of the thoracic cavity, encompass the anterior mediastinum, and partially reach into the opposite cavity. It enhances visualization, facilitates access to vital organs, allows for precise surgical maneuvers, minimizes the risk of inadvertent tissue damage, and enables thorough oncological resection.<\/jats:p>","DOI":"10.1093\/jscr\/rjae354","type":"journal-article","created":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T17:45:14Z","timestamp":1717091114000},"source":"Crossref","is-referenced-by-count":0,"title":["The significance of a \u2018T shaped\u2019 incision for resection of giant mediastinal tumors: a case report"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6958-628X","authenticated-orcid":false,"given":"Manjinder Kaur","family":"Pannu","sequence":"first","affiliation":[{"name":"Department of Basic and Clinical Sciences, University of Nicosia Medical School , Nicholas St 93, CY-2408, Nicosia , Cyprus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas Peter","family":"Ehrsam","sequence":"additional","affiliation":[{"name":"Klinik Hirslanden Z\u00fcrich, Thoracic Surgery Clinic , Witellikerstrasse 40, 8032, Z\u00fcrich , Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Othmar Markus","family":"Sch\u00f6b","sequence":"additional","affiliation":[{"name":"Klinik Hirslanden Z\u00fcrich, Thoracic Surgery Clinic , Witellikerstrasse 40, 8032, Z\u00fcrich , Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilhan","family":"Inci","sequence":"additional","affiliation":[{"name":"Department of Basic and Clinical Sciences, University of Nicosia Medical School , Nicholas St 93, CY-2408, Nicosia , Cyprus"},{"name":"Klinik Hirslanden Z\u00fcrich, Thoracic Surgery Clinic , Witellikerstrasse 40, 8032, Z\u00fcrich , Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,5,30]]},"reference":[{"key":"2024053009513879700_ref1","doi-asserted-by":"crossref","first-page":"820720","DOI":"10.3389\/fonc.2022.820720","article-title":"Trends, symptoms, and outcomes of resectable giant mediastinal tumors","volume":"12","author":"Shi","year":"2022","journal-title":"Front Oncol"},{"key":"2024053009513879700_ref2","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1186\/s13256-023-04121-7","article-title":"Mediastinal liposarcoma: a case report and review of the literature","volume":"17","author":"Ataya","year":"2023","journal-title":"J Med Case Reports"},{"key":"2024053009513879700_ref3","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/0003-4975(94)91067-7","article-title":"The clamshell incision: an improved approach to bilateral pulmonary and mediastinal tumor","volume":"58","author":"Bains","year":"1994","journal-title":"Ann Thorac Surg"},{"key":"2024053009513879700_ref4","doi-asserted-by":"crossref","first-page":"rjw 219","DOI":"10.1093\/jscr\/rjw219","article-title":"Resection of giant mediastinal liposarcoma via \u2018\u22a3shape\u2019 incision","volume":"2017","author":"Huang","year":"2017","journal-title":"J Surg Case Rep"},{"key":"2024053009513879700_ref5","first-page":"361","article-title":"Relapsed pleomorphic liposarcoma with mediastinal metastasis: a case report and review of the literature","volume":"20","author":"Liu","year":"2017","journal-title":"Zhong guo Fei Ai Za Zhi"},{"key":"2024053009513879700_ref6","doi-asserted-by":"crossref","first-page":"33","DOI":"10.4103\/0970-9371.76948","article-title":"Metastatic myxoid liposarcoma of lung and mediastinum diagnosed by fine needle aspiration","volume":"28","author":"Inuganti","year":"2011","journal-title":"J Cytol"},{"key":"2024053009513879700_ref7","doi-asserted-by":"crossref","first-page":"27","DOI":"10.21037\/med-20-42","article-title":"Liposarcomas of the mediastinum","volume":"4","author":"Suster","year":"2020","journal-title":"Mediastinum"},{"key":"2024053009513879700_ref8","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1002\/jso.24929","article-title":"Multiply recurrent retroperitoneal liposarcoma","volume":"117","author":"Bagaria","year":"2018","journal-title":"J Surg Oncol"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/5\/rjae354\/58003949\/rjae354.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/5\/rjae354\/58003949\/rjae354.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T17:45:22Z","timestamp":1717091122000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae354\/7685079"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae354","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,5]]},"published":{"date-parts":[[2024,5]]},"article-number":"rjae354"}}