Boons P, Van Hee R, Hendrickx L
Academic Surgical Center Stuivenberg, Algemeen Centrum Ziekenhuis Antwerpen, Lange Beeldekensstraat 267, 2060 Antwerpen, Belgium.
Surg Endosc. 2003 Dec;17(12):2028-31. doi: 10.1007/s00464-003-4236-7. Epub 2003 Oct 28.
Two cases of intrathoracic neurogenic tumors are discussed. The benign neoplasms were located in the posterior mediastinum and caused no clinical symptoms. In both cases, complete resection of the lesion was achieved by video-assisted thoracic surgery (VATS). There were no intraoperative complications. Postoperatively, one patient presented with Claude Bernard-Horner syndrome, which resolved spontaneously after 1 week. Although the great majority of mediastinal neurogenic neoplasms are benign, resection is necessary to prevent malignant transformation and intraspinal extension.
本文讨论了两例胸内神经源性肿瘤。这两个良性肿瘤位于后纵隔,未引起临床症状。在这两个病例中,均通过电视辅助胸腔镜手术(VATS)实现了病变的完整切除。术中无并发症。术后,一名患者出现了Claude Bernard-Horner综合征,1周后自行缓解。尽管绝大多数纵隔神经源性肿瘤是良性的,但仍有必要进行切除以防止恶变和向椎管内扩展。