Lahiri T K, Agrawal D, Agrawal Kapil, Shukla Jyoti
Department of Cardiovascular and Thoracic Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, UP, India.
Indian J Chest Dis Allied Sci. 2002 Oct-Dec;44(4):259-62.
A case of thymoma with mixed spindle and lymphocytic variety along with acquired, secondary, chronic pure red cell aplasia is an uncommon entity. The presented case is a case of anterior mediastinal tumour with marked anemia. On histopathologic and hematological examinations, it proved to be a case of thymoma along with pure red cell aplasia. High index of suspicion, bone marrow examination, radiological including CT scan examination, total thymectomy after preparation with repeated blood transfusion remains the mainstay of treatment. Prolonged corticosteroid therapy leads to remission for upto ten months after operative intervention.
一例伴有梭形细胞和淋巴细胞混合类型的胸腺瘤以及获得性、继发性、慢性纯红细胞再生障碍性贫血是一种罕见的情况。本病例是一例伴有明显贫血的前纵隔肿瘤。经组织病理学和血液学检查，证实为胸腺瘤合并纯红细胞再生障碍性贫血。高度怀疑、骨髓检查、包括CT扫描在内的影像学检查、在反复输血准备后进行全胸腺切除术仍是主要的治疗方法。长期使用皮质类固醇治疗可使手术干预后缓解长达十个月。
