Kitami A, Suzuki T, Suzuki S, Hori G
Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan.
Jpn J Thorac Cardiovasc Surg. 2000 Oct;48(10):670-2. doi: 10.1007/BF03218227.
We report a case of a 61-year-old man with a tiny thymic carcinoma completely surrounded by thymic tissue. First, a thoracoscopic resection of about two-thirds of the right inferior part of the thymus containing the tumor was performed to obtain the histological diagnosis. Frozen-section diagnosis at operation revealed a thymic carcinoma. Therefore we performed a median sternotomy and resected the remnant of the thymus. A tiny thymic carcinoma completely surrounded by thymic tissue is extremely rare. In this case, as the tumor was tiny and there was a homogeneous mass without a thymoma-like component, we concluded that this tumor was de novo.
我们报告一例61岁男性患者，其患有微小胸腺癌，肿瘤完全被胸腺组织包绕。首先，通过胸腔镜切除了约三分之二包含肿瘤的右下部分胸腺以获得组织学诊断。术中冰冻切片诊断为胸腺癌。因此，我们进行了正中胸骨切开术并切除了胸腺残余部分。肿瘤完全被胸腺组织包绕的微小胸腺癌极为罕见。在本病例中，由于肿瘤微小且为均匀肿块，无胸腺瘤样成分，我们认为该肿瘤为原发性。
