Rüffer A, Webinger J, Glöckler M, Purbojo A, Dittrich S, Cesnjevar R A, Carbon R
Department of Pediatric Cardiac Surgery, University Hospital Erlangen, Erlangen, Germany.
Thorac Cardiovasc Surg. 2012 Oct;60(7):488-90. doi: 10.1055/s-0031-1280065. Epub 2011 Jul 15.
This report describes the management of an 8 × 8-cm cystic mass that arose from the anterior mediastinum and prolapsed into the right pleural cavity adherent to the pericardium in an asymptomatic 16-year-old girl. The patient was scheduled for a video-assisted thoracoscopic operation with exposure, puncture and suction of a suspected pericardial cyst. However, during the procedure the strategy was changed due to the solid consistency of the mass, and the lesion was extirpated in toto by a short anterolateral thoracotomy. The complete histopathological investigation showed a highly fibrous, cystic, mature teratoma.
本报告描述了一名16岁无症状女孩的病例，其前纵隔出现一个8×8厘米的囊性肿块，该肿块脱垂至右胸腔并与心包粘连。患者计划接受电视辅助胸腔镜手术，对疑似心包囊肿进行暴露、穿刺和抽吸。然而，在手术过程中，由于肿块质地坚实，手术策略发生了改变，通过短的前外侧开胸术将病变完整切除。完整的组织病理学检查显示为高度纤维化、囊性的成熟畸胎瘤。
