Iwasaki T, Iuchi K, Matsumura A, Sueki H, Yamamoto S, Mori T
Department of Thoracic Surgery, National Kinki-Chuo Hospital for Chest Diseases, Osaka, Japan.
Jpn J Thorac Cardiovasc Surg. 2000 Jul;48(7):468-72. doi: 10.1007/BF03218178.
Intrapulmonary teratoma is reported in a 22-year-old male. A chest X-ray in a physical examination showed a round shadow in the left hilum of a 22-year-old man who, on admission, reported slight malaise and a decrease in body weight. Computed tomographic scan and magnetic resonance imaging of the chest showed a heterogeneously dense cystic lesion. The preoperative diagnosis was anterior mediastinal teratoma, and the tumor was located in the anterior segment of the left upper lobe after thoracotomy. Segmentectomy of the left upper division showed a 4.0 x 3.5 cm tumor diagnosed as an intrapulmonary mature teratoma--the 27th such case reported in the English-language literature. This is, to the best of our knowledge, the first intrapulmonary teratoma involving magnetic resonance imaging.
据报道,一名22岁男性患有肺内畸胎瘤。在一次体检中,胸部X光显示一名22岁男性左肺门有一个圆形阴影,该男子入院时自述有轻微不适和体重减轻。胸部计算机断层扫描和磁共振成像显示为一个密度不均匀的囊性病变。术前诊断为前纵隔畸胎瘤,开胸后发现肿瘤位于左肺上叶前段。左肺上叶前段切除术显示一个4.0×3.5厘米的肿瘤,诊断为肺内成熟畸胎瘤——这是英文文献中报道的第27例此类病例。据我们所知,这是首例涉及磁共振成像的肺内畸胎瘤。