Ascani S, Carloni A, Agostinelli C, Martini E, Bravi I, Pileri S A
Institute of Pathologic Anatomy and Radiology, University of Perugia, St. Maria Hospital, Terni, Italy.
Pathologica. 2008 Dec;100(6):476-7.
A 54-year-old male, non smoker, began to suffer from persistent dyspnoea and fever. X-ray and CT scan showed a cystic lesion located in the left anterior mediastinum. This lesion was removed instead of the initially scheduled surgical resection with video-assisted thoracoscopic surgery (VATS) preceded by fine needle aspiration (FNA). A diagnosis of thymoma arising in the wall of thymic cyst was made. Such a rare tumour should be taken into consideration in treating patients with a cystic mediastinal lesion, before VATS and FNA.
一名54岁男性，不吸烟，开始出现持续性呼吸困难和发热。X线和CT扫描显示左前纵隔有一个囊性病变。该病变通过在细针穿刺活检（FNA）后采用电视辅助胸腔镜手术（VATS）进行切除，而非最初计划的手术切除。诊断为胸腺囊肿壁内发生的胸腺瘤。在进行VATS和FNA之前，治疗纵隔囊性病变患者时应考虑到这种罕见肿瘤。
