肿瘤液中糖类抗原19-9值升高的囊性精原细胞瘤，酷似囊性畸胎瘤。

Cystic seminoma with elevated value of carbohydrate antigen 19-9 in tumor fluid mimicking cystic teratoma.

作者信息

Tsai Cheng-Ken, Huang Tsai-Wang, Li Chun-Chang, Hsieh Chih-Ming, Lee Shih-Chin, Cheng Yeung-Leung, Lee Herng-Sheng

机构信息

Department of Surgery, Division of Thoracic Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

出版信息

Ann Thorac Surg. 2009 Nov;88(5):1693-5. doi: 10.1016/j.athoracsur.2009.04.026.

DOI:10.1016/j.athoracsur.2009.04.026

PMID:19853145

Abstract

The incidence of cystic lesions of anterior mediastinum is low, which is responsible for approximately 10% of anterior mediastinal tumors. We presented a special case of primary anterior mediastinal tumor with both prominent cystic change and extreme high carbohydrate antigen 19-9 level of cystic fluid here. From the finding of this case report, we suggested that the diagnosis of cystic anterior mediastinal tumors should include both cystic seminoma and mature cystic teratoma.

摘要

前纵隔囊性病变的发生率较低，约占前纵隔肿瘤的10%。我们在此报告了一例特殊的原发性前纵隔肿瘤，其囊性改变显著，囊液中碳水化合物抗原19-9水平极高。根据本病例报告的发现，我们建议前纵隔囊性肿瘤的诊断应包括囊性精原细胞瘤和成熟囊性畸胎瘤。