Complete Resection of Thymic Sarcomatoid Carcinoma Through Total Aortic Arch Replacement Soichi Oka, MD, PhD, Akihiro Taira, MD, Shuichi Shinohara, MD,

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Complete Resection of Thymic Sarcomatoid Carcinoma Through Total Aortic Arch Replacement Soichi Oka, MD, PhD, Akihiro Taira, MD, Shuichi Shinohara, MD, Taiji Kuwata, MD, Masaru Takenaka, MD, Yasuhiro Chikaishi, MD, Ayako Hirai, MD, Hidetaka Uramoto, MD, PhD, Yosuke Nishimura, MD, PhD, Fumihiro Tanaka, MD, PhD The Annals of Thoracic Surgery Volume 102, Issue 6, Pages e557-e559 (December 2016) DOI: 10.1016/j.athoracsur.2016.05.095 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A, B, C, and D) Computed tomographic view of chest showing localization of tumor in the anterior mediastinum. This tumor surrounded the left subclavian artery, and touched aortic arch and left carotid artery. The Annals of Thoracic Surgery 2016 102, e557-e559DOI: (10.1016/j.athoracsur.2016.05.095) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A and B) Intraoperative views of aortic arch resection and total aortic arch replacement. The Annals of Thoracic Surgery 2016 102, e557-e559DOI: (10.1016/j.athoracsur.2016.05.095) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Results of pathologic study of tumor. (A) The tumor cells were mainly composed of sarcomatoid cells. (Hematoxylin and eosin.) Immunohistochemical staining showed positivity for (B) AE1/AE3 and (C) CAM5.2 but negativity for (D) TTF-1. The Annals of Thoracic Surgery 2016 102, e557-e559DOI: (10.1016/j.athoracsur.2016.05.095) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions