Hsu Benson S, Heatley Diane G, Wilhelm Michael
Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, USA.
WMJ. 2011 Aug;110(4):185-7.
Cervicothoracic mass in the pediatric population is uncommon and has a broad differential diagnosis. Frequently, masses in the cervical region present with airway compromise, particularly in younger patients. We present a case of an extremely large cervicothoracic mass causing airway obstruction in a 3-day-old, otherwise healthy male infant. Following awake intubation for airway protection, a 4.5 cm x 2.5 cm x 1.5 cm thymic cyst was removed. This case illustrates the wide differential diagnosis of cervicothoracic masses and shows the difficulty of preoperative diagnosis, especially in the case of thymic cysts with extension into the cervical space.
小儿颈胸段肿物并不常见，鉴别诊断范围广泛。颈部肿物常导致气道受压，尤其在低龄患者中更为常见。我们报告一例3日龄、身体健康的男婴，其颈胸段有一极大肿物导致气道梗阻。为保护气道进行清醒插管后，切除了一个4.5厘米×2.5厘米×1.5厘米的胸腺囊肿。该病例说明了颈胸段肿物鉴别诊断范围广泛，也显示了术前诊断的困难，特别是对于延伸至颈部间隙的胸腺囊肿。
