Lee Deok Heon, Park Chang-Kwon, Keum Dong-Yoon, Kim Jae-Bum, Hwang Ilseon
Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Korea.
Korean J Thorac Cardiovasc Surg. 2012 Jun;45(3):192-5. doi: 10.5090/kjtcs.2012.45.3.192. Epub 2012 Jun 7.
Leiomyosarcoma of the mediastinum and primary leiomyosarcoma of the spine are exceedingly rare. In most cases, spinal leiomyosarcoma is metastatic. In this report, we describe the case of a 58-year-old man who presented with a large leiomyosarcoma of the posterior mediastinum that extended into the adjacent spinal canal. The tumor was completely resected from the mediastinum, but only subtotally removed from the spinal canal because the spinal mass had tightly invaded the spinal cord. Because the patient's postoperative condition was poor, no adjuvant radiotherapy or chemotherapy was administered. He expired 3 months after the surgery due to relapse; the spinal and mediastinal tumor remained at the preoperative size.
纵隔平滑肌肉瘤和脊柱原发性平滑肌肉瘤极为罕见。在大多数情况下，脊柱平滑肌肉瘤是转移性的。在本报告中，我们描述了一名58岁男性的病例，该患者患有一个巨大的后纵隔平滑肌肉瘤，肿瘤延伸至相邻的椎管。肿瘤从纵隔完全切除，但仅从椎管部分切除，因为椎管内肿块紧密侵犯脊髓。由于患者术后情况不佳，未进行辅助放疗或化疗。他在手术后3个月因复发死亡；脊柱和纵隔肿瘤仍保持术前大小。
