Matono Rumi, Shoji Fumihiro, Yano Tokujiro, Maehara Yoshihiko
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
Interact Cardiovasc Thorac Surg. 2010 Jun;10(6):1056-8. doi: 10.1510/icvts.2009.231456. Epub 2010 Mar 30.
This report presents an extremely rare case of a rapidly growing giant pericardial cyst which was surgically removed 20 years after the first detection. A 38-year-old asymptomatic male was referred because of rapidly growing mass on the right diaphragm. This lesion was detected about 20 years earlier and checked by a chest roentgenogram once a year. However, this lesion showed rapid growth over the last year, therefore surgical removal was performed. A pathological examination revealed this lesion as a giant pericardial cyst without inflammatory, hemorrhage or malignant cells. Therefore, there was no pathological explanation for the rapid growth of this cyst. In conclusion, general thoracic surgeons should be aware of the possibility of rapid growth, even if the diagnosis is a pericardial cyst.
本报告介绍了一例极其罕见的快速生长的巨大心包囊肿病例，该囊肿在首次发现20年后通过手术切除。一名38岁无症状男性因右膈上肿块快速生长前来就诊。该病变约20年前被发现，每年通过胸部X光检查一次。然而，该病变在过去一年中显示出快速生长，因此进行了手术切除。病理检查显示该病变为巨大心包囊肿，无炎症、出血或恶性细胞。因此，对于该囊肿的快速生长没有病理学解释。总之，普通胸外科医生应意识到即使诊断为心包囊肿也有快速生长的可能性。
