ArticleJournal of cardiothoracic surgery2026
SMARCA4-deficient thoracic tumor with vascular differentiation requiring superior vena cava reconstruction: a case report.
Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSMARCA4-deficient tumors are rare, highly aggressive malignancies characterized by inactivation of the SMARCA4 gene, most frequently observed in male smokers. CASE PRESENTATION: We report an unusual case of a SMARCA4-deficient tumor with vascular differentiation in a 54-year-old non-smoking Asian female with a right paratracheal mass invading the superior vena cava (SVC). Final pathology confirmed a SMARCA4-deficient neoplasm with strong vascular markers on immunohistochemical staining. The patient underwent staged surgical management, including en bloc resection of the mass and SVC with complex vascular reconstruction using a bifurcated graft.
conclusionsThis case illustrates the diagnostic complexity of SMARCA4-deficient tumors and highlights an unusual clinical and pathological presentation.
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