Lacquet L K, Moulijn A C, Jongerius C M, Limburg M, Rensing J B
Thorax. 1977 Apr;32(2):203-9. doi: 10.1136/thx.32.2.203.
In 1958 a mediastinal tumour was discovered in an asymptomatic woman with a history of vomiting and an oesophageal anomaly which had not been treated. A tumour of the anterosuperior mediastinum in relation to the aortic arch was extirpated and proved to be a chemodectoma or non-chromaffin paraganglioma. At subsequent follow-ups the mediastinum was never normal and the heart size progressively increased, the oesophageal anomaly remaining unchanged. A small opacity appeared in the left lung in 1974. An operation performed in 1975 revealed an osteochondroma in the lung, pericarditis, and an intrapericardial chemodectoma. The oesophagus was not explored. An intrathoracic chemodectoma is rare. The importance of angiography in its diagnosis is emphasised. Malignant degeneration is seldom observed. Therapy is surgical, the tumour being radioresistant. The possibility to be considered in our patient was either relapse of the tumour with degeneration or multiple localisations of the tumour.
1958年，在一位有呕吐病史且未治疗过食管异常的无症状女性身上发现了纵隔肿瘤。切除了与主动脉弓相关的前上纵隔肿瘤，证实为化学感受器瘤或非嗜铬性副神经节瘤。在随后的随访中，纵隔从未恢复正常，心脏大小逐渐增大，食管异常保持不变。1974年左肺出现一个小的不透光区。1975年进行的手术显示肺部有骨软骨瘤、心包炎和心包内化学感受器瘤。未探查食管。胸内化学感受器瘤罕见。强调了血管造影在其诊断中的重要性。很少观察到恶性变。治疗方法为手术，因为肿瘤对放疗有抗性。在我们的患者中需要考虑的可能性是肿瘤复发伴变性或肿瘤的多个定位。
