Moinuddeen K, Baltzer J W, Zama N
Division of Cardiothoracic Surgery, Guthrie Clinic and Robert Packer Hospital, Sayre, PA 18840, USA.
Chest. 2001 May;119(5):1615-6. doi: 10.1378/chest.119.5.1615.
We describe a patient who presented with a left lower lobe lung lesion suspicious for cancer with possible hilar involvement. Intraoperatively, we found a primary left phrenic nerve tumor, diaphragmatic eventration, and left lower lobe atelectasis. He was successfully treated with total excision of the tumor and plication of the diaphragm. Histopathology was consistent with schwannoma of the phrenic nerve. Diaphragmatic eventration is an uncommon presentation of a phrenic nerve schwannoma, which is itself a rarely occurring tumor. Surgical resection of the tumor and diaphragmatic plication is the primary modality of management in these patients.
我们描述了一名患者，其左肺下叶出现可疑的癌症病变，可能累及肺门。术中，我们发现了原发性左膈神经肿瘤、膈膨升和左肺下叶肺不张。通过肿瘤全切和膈肌折叠术，他得到了成功治疗。组织病理学结果与膈神经鞘瘤相符。膈膨升是膈神经鞘瘤的一种罕见表现，而膈神经鞘瘤本身就是一种罕见肿瘤。手术切除肿瘤和膈肌折叠术是这些患者的主要治疗方式。
