Okubo Tetsuyuki, Takahashi Hiroshi, Kaneko Yukihiro, Kurokawa Takanori, Kanai Motoshi
Department of Surgery, Hakodate Medical Hospital, Hakodate, Japan.
Kyobu Geka. 2011 Mar;64(3):259-61.
A 83-year-old female was referred to our hospital for investigation of a persistent cough. A chest X-ray showed enlargement of the mediastinum. Computed tomography of the chest showed an anterior mediastinal mass with a maximal diameter of 6.5 cm, which had invasion to the lung. The patient underwent thymothymectomy combined resections of the lung, pericardium, and left innominate vein through a median sternotomy. Histological examination of the resected tumor revealed a World Health Organization (WHO) classification type B3 thymoma with infiltration into the lung. There were no infiltrations of the tumor into the pericardium and the innominate vein. A persistent cough disappeared after surgery. No adjuvant chemotherapy was performed. She is still free from disease with a follow-up period of 4 months. We report a rare case of thymoma detected with a persistent cough derived from pulmonary invasion.
一名83岁女性因持续性咳嗽被转诊至我院进行检查。胸部X线显示纵隔增宽。胸部计算机断层扫描显示前纵隔有一最大直径为6.5 cm的肿块，已侵犯肺部。患者通过正中胸骨切开术接受了胸腺切除术，并联合切除了肺、心包和左无名静脉。对切除肿瘤的组织学检查显示为世界卫生组织（WHO）分类的B3型胸腺瘤，伴有肺部浸润。肿瘤未浸润至心包和无名静脉。术后持续性咳嗽消失。未进行辅助化疗。随访4个月，她仍无疾病复发。我们报告了一例罕见的因肺部侵犯导致持续性咳嗽而被发现的胸腺瘤病例。
