酷似前纵隔肿瘤的硬化性纵隔炎

Sclerosing mediastinitis mimicking anterior mediastinal tumor.

作者信息

Miyata Toshio, Takahama Makoto, Yamamoto Ryoji, Nakajima Ryu, Tada Hirohito

机构信息

Department of General Thoracic Surgery, Osaka City General Hospital, Osaka, Japan.

出版信息

Ann Thorac Surg. 2009 Jul;88(1):293-5. doi: 10.1016/j.athoracsur.2008.11.070.

DOI:10.1016/j.athoracsur.2008.11.070

PMID:19559253

Abstract

A 54-year-old asymptomatic man presented with an anterior mediastinal mass discovered on chest roentgenogram. Chest computed tomography revealed a noncalcified round mass in the mediastinum. A white solid mass, 5-cm in diameter, had arisen from the pericardial adipose tissue with multiple small nodular lesions mimicking mediastinal tumor with pleural dissemination. Postoperative pathologic examination confirmed a diagnosis of sclerosing mediastinitis. Details of the clinical and radiographic feature are presented.

摘要

一名54岁无症状男性因胸部X线检查发现前纵隔肿块前来就诊。胸部计算机断层扫描显示纵隔有一个非钙化的圆形肿块。一个直径5厘米的白色实性肿块起源于心包脂肪组织，伴有多个小结节性病变，类似伴有胸膜播散的纵隔肿瘤。术后病理检查确诊为硬化性纵隔炎。现介绍其临床和影像学特征的详细情况。