Kubokura Hirotoshi, Koizumi Kiyoshi, Yoshino Naoyuki, Yamagishi Shigeki, Mikami Iwao, Hirata Tomomi, Harada Akima, Kawamoto Masashi, Shimizu Kazuo
Division of Thoracic Surgery, Department of Surgery Nippon Medical School, Tokyo, Japan.
Ann Thorac Cardiovasc Surg. 2008 Dec;14(6):382-5.
Extramedullary hematopoiesis (EMH) is a rare disease associated with hematologic disorders. This report describes a case of posterior mediastinal mass found by occurring spontaneous pneumothorax in a 48-year-old male. The intrathoracic mass resected using video-assisted thoracic surgery (VATS) was diagnosed thoracic EMH (TEMH). No disorders were found by hematologic exams before or after surgery. This report suggests that such lesions must therefore be considered in the differential diagnosis of posterior mediastinal tumors presenting with no hematologic disorders.
髓外造血(EMH)是一种与血液系统疾病相关的罕见疾病。本报告描述了一例48岁男性因自发性气胸发现后纵隔肿块的病例。通过电视辅助胸腔镜手术(VATS)切除的胸腔内肿块被诊断为胸段髓外造血(TEMH)。手术前后的血液学检查均未发现异常。本报告表明,对于无血液系统疾病的后纵隔肿瘤进行鉴别诊断时,必须考虑到此类病变。