Ko S-F, Ng S-H, Lee T-Y, Sun P-L, Lee S-Y, Hsiao C-C
Department of Radiology, Chang Gung University, Chang Gung Memorial Hospital at Kaohsiung, Taiwan.
Br J Radiol. 2003 Aug;76(908):574-6. doi: 10.1259/bjr/67532842.
We report a rare case of malignant peripheral nerve-sheath tumour of the diaphragm in a 12-year-old boy with neurofibromatosis presented clinically and radiographically as recurrent lung infection. Ultrasound revealed a pedunculated diaphragmatic tumour invading the posterior chest wall. This case highlights that this unusual tumour may limit diaphragmatic excursion leading to, and even being masked by, superimposed lung infection. In patients with neurofibromatosis, ultrasound is recommended when chest radiography shows a basal lung opacity.
我们报告了一例罕见的12岁患有神经纤维瘤病的男孩膈肌恶性外周神经鞘瘤病例，该病例临床和影像学表现为反复肺部感染。超声检查显示一个有蒂的膈肌肿瘤侵犯后胸壁。该病例突出表明，这种不寻常的肿瘤可能会限制膈肌活动，导致肺部感染并使其表现被掩盖。对于患有神经纤维瘤病且胸部X线检查显示肺底部有不透明影的患者，建议进行超声检查。
