Itakura M, Shiraishi K, Kadosaka T, Matsuzaki S
Department of Internal Medicine, Tokai University School of Medicine, Tokyo Hospital, Japan.
Endoscopy. 1990 Nov;22(6):276-8. doi: 10.1055/s-2007-1012870.
A rare case of chondroma of the diaphragm is reported. The patient was a 23-year-old female who had had recurrent upper abdominal pain for 4 years. Her symptoms and physical findings on admission suggested an intra-abdominal tumor. Roentgenological study disclosed a mass with a thick calcified wall in the upper abdomen. Laparoscopy revealed a multinodular white mass protruding from the left hemidiaphragm. The mass was surgically enucleated from the diaphragm. The resected tumor had a thick, calcified wall and a narrow lumen containing colorless fluid. Microscopic examination disclosed a hyaline chondroid matrix with mature chondrocytes, as well as extensive ossification. Primary tumor of the diaphragm is an uncommon disease. Only one case of chondroma of the diaphragm has been reported in the literature. Laparoscopy was useful in confirming the tumor's location and in speculating on its nature.
报告了一例罕见的膈肌软骨瘤病例。患者为一名23岁女性，反复上腹部疼痛4年。她入院时的症状和体格检查结果提示腹内肿瘤。放射学检查发现上腹部有一个壁增厚且钙化的肿块。腹腔镜检查显示一个多结节白色肿块从左半膈肌突出。该肿块通过手术从膈肌上摘除。切除的肿瘤有一个厚的、钙化的壁和一个含有无色液体的狭窄管腔。显微镜检查发现有透明软骨样基质，伴有成熟软骨细胞，以及广泛的骨化。原发性膈肌肿瘤是一种罕见疾病。文献中仅报道过一例膈肌软骨瘤。腹腔镜检查有助于确定肿瘤的位置并推测其性质。
