Intrapleural perfusion hyperthermo-chemotherapy under video-assisted thoracoscopic surgery for malignant pleural dissemination: a case report.

We report the case of a 45-year-old man treated with intrathoracic hyperthermo-chemotherapy (IPHC) under video-assisted thoracoscopic surgery (VATS) for malignant pleural dissemination originating from invasive thymoma. The clinical course of invasive thymoma with malignant pleural dissemination is characterized by early and frequent metastasis and poor survival. In this case, we performed IPHC under VATS with good results. IPHC under VATS is considered a less invasive and more effective approach for malignant pleural dissemination.