Miura K, Yoshizawa K, Tamaki M, Okumura K, Furukita Y
Department of Chest Surgery, Takamatsu Red Cross Hospital, Takamatsu Japan.
Kyobu Geka. 2009 Mar;62(3):255-7.
A 44-year-old woman was admitted to our hospital because of mediastinal mass. Serum levels of carcinoembryonic antigen (CEA) were found to be elevated. No preoperative examination could detect the primary lesion. The tumor was resected through right thoracotomy. Histological examination revealed poorly differentiated adenocarcinoma. She was diagonosed as metastatic mediastinal lymph node carcinoma of unknown primary site. She received radiotherapy and chemotherapy and is desease free 29 months after operation. Good results may be obtained by multimodality therapies for cancer in mediastinal lymph node of unknown primary site.
一名44岁女性因纵隔肿块入住我院。发现其血清癌胚抗原（CEA）水平升高。术前检查未发现原发灶。通过右胸切开术切除肿瘤。组织学检查显示为低分化腺癌。她被诊断为原发部位不明的转移性纵隔淋巴结癌。她接受了放疗和化疗，术后29个月无疾病复发。对于原发部位不明的纵隔淋巴结癌，多模式治疗可能会取得良好效果。
