Hirai Kyoji, Takeuchi Shingo, Bessho Ryuzo, Ohaki Yoshiharu, Koizumi Kiyoshi, Shimizu Kazuo
Department of Biological Regulation and Regenerative Surgery, Graduate School of Medicine, Nippon Mediacal School.
J Nippon Med Sch. 2010 Apr;77(2):115-8. doi: 10.1272/jnms.77.115.
We report a rare case of venous hemangioma (VH) of the anterior mediastinum in a 56-year-old man admitted to our hospital because of hematemesis. Systemic examinations were performed and chest computer tomography (CT) revealed a 1.5-cm sized small nodule with contrast enhancement in the thymus. Both CT and magnetic resonance imaging (MRI) suggested a solid tumor such as a thymoma or neurogenic tumor rather than a vascular neoplasm. A partial thymectomy including this nodule by video-assisted thoracic surgery (VATS) was performed. Histological examination showed VH. There was no recurrence with no further treatment.
我们报告了一例罕见的前纵隔静脉血管瘤(VH)病例,患者为一名56岁男性,因呕血入院。进行了全身检查,胸部计算机断层扫描(CT)显示胸腺内有一个1.5厘米大小的小结节,有对比增强。CT和磁共振成像(MRI)均提示为实性肿瘤,如胸腺瘤或神经源性肿瘤,而非血管性肿瘤。通过电视辅助胸腔镜手术(VATS)对包括该结节在内的部分胸腺进行了切除。组织学检查显示为VH。未进行进一步治疗,也未复发。