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酷似恶性肺肿瘤的肺内囊性畸胎瘤。

Intrapulmonary cystic teratoma mimicking malignant pulmonary neoplasm.

作者信息

Sawant Abhishek Chandrakant, Kandra Ajay, Narra Swapna Reddy

机构信息

Department of Internal Medicine, Community Regional Medical Center, Fresno, California, USA.

出版信息

BMJ Case Rep. 2012 Aug 14;2012:bcr0220125770. doi: 10.1136/bcr.02.2012.5770.

Abstract

Benign cystic teratoma of lung is an extremely rare tumour, which was first described in literature by Mohr in 1839. Intrapulmonary teratoma is thought to be a derivative of the third endo-dermal pharyngeal pouch, which is an anlage of the thymus. The authors present a rare case of mature cystic teratoma in a young male involving the right upper lobe of the lung. Diagnosis is often missed and patients are treated for various infectious conditions. Treatment is complete resection for both benign and malignant teratomas and carries excellent prognosis. Benign cystic teratoma, if not excised may cause grave complications like life-threatening haemoptysis or malignant transformation with metastatic disease.

摘要

肺良性囊性畸胎瘤是一种极为罕见的肿瘤,1839年由莫尔首次在文献中描述。肺内畸胎瘤被认为是第三咽内胚层囊的衍生物,而第三咽内胚层囊是胸腺的原基。作者报告了一例罕见的年轻男性成熟囊性畸胎瘤累及右肺上叶的病例。诊断常常被漏诊,患者常因各种感染性疾病接受治疗。对于良性和恶性畸胎瘤,治疗方法均为完整切除,预后良好。良性囊性畸胎瘤若不切除,可能会引发严重并发症,如危及生命的咯血或发生转移的恶性转化。

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