Teramachi M, Miyamoto N, Sasaka T, Nakamura T, Kitamura F
Department of Thoracic Cardiovascular Surgery, Kochi Municipal Hospital, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1991 Jul;29(7):909-12.
A 68-year-old woman was admitted with cough and dyspnea. Her chest X-ray showed right pleural effusion and a mediastinal tumor. She underwent mediastinotomy following a preoperative diagnosis of invasive thymoma. A tumor originating from the thymus had invaded the right middle lobe and pericardium, and multiple pleural dissemination was also found. Therefore, considering the patient's age and pulmonary function, we performed only subtotal resection of the tumor. The pathological diagnosis was poorly differentiated squamous cell carcinoma. The patient received irradiation and chemotherapy including Cisplatin after surgery, but she died 1 year later because of rapid progression of distant metastases.
一名68岁女性因咳嗽和呼吸困难入院。她的胸部X光显示右侧胸腔积液和纵隔肿瘤。术前诊断为侵袭性胸腺瘤后，她接受了纵隔切开术。起源于胸腺的肿瘤已侵犯右中叶和心包，还发现了多处胸膜播散。因此，考虑到患者的年龄和肺功能，我们仅对肿瘤进行了次全切除。病理诊断为低分化鳞状细胞癌。患者术后接受了包括顺铂在内的放疗和化疗，但1年后因远处转移迅速进展而死亡。
