Fukuhara K, Inoue K, Katoh T, Nishida T, Iwata T, Kinoshita H
Second Department of Surgery, Osaka City University Medical School, Japan.
Kyobu Geka. 2000 May;53(5):425-7.
Thymic cyst is a rare and benign tumor of mediastinal tumor. A 77-year-old male was pointed out the tumor shadow on Chest X-ray film and diagnosed lung cancer. On admission some examination was performed and revealed mediastinal tumor accidentally. Primary lung cancer was completely resected and mediastinal tumor was extirpated. Pathological examination revealed lung cancer (poorly differentiated squamous cell carcinoma) and thymic cyst. Many methods of examination were tried for diagnosis of thymic cyst, but couldn't diagnose exactly before its resection. Some of the patients with thymic cyst was reported to develop SVC syndrome or change to malignant tumor. Therefore we think complete resection is the best treatment.
胸腺囊肿是一种罕见的纵隔良性肿瘤。一名77岁男性在胸部X线片上被发现有肿瘤阴影,诊断为肺癌。入院后进行了一些检查,意外发现纵隔肿瘤。原发性肺癌被完全切除,纵隔肿瘤也被摘除。病理检查显示为肺癌(低分化鳞状细胞癌)和胸腺囊肿。为诊断胸腺囊肿尝试了多种检查方法,但在切除前无法准确诊断。据报道,一些胸腺囊肿患者会发生上腔静脉综合征或转变为恶性肿瘤。因此,我们认为完全切除是最佳治疗方法。