Shalini B, Wahinuddin S, Monniaty M, Rosemi S
Department of Medicine, Hospital Kota Bharu, 15586 Kota Bharu, Kelantan, Malaysia.
Malays J Med Sci. 2002 Jan;9(1):52-4.
A 13-year old Malay school girl who had been apparently normal previously, presented with a three-month history of fever, malaise and loss of weight. She had anemia and raised values for ESR, lactic dehydrogenase, C-reactive protein, ferritin and a positive mantoux test. Her routine chest x-ray showed hilar prominence suggestive of hilar lymph node enlargement. C.T. Scan of the thorax revealed a posterior mediastinal mass, the histopathology of which was suggestive of Ewing's sarcoma. The rarity of the location of the tumour and its unusual mode of presentation prompted us to report this case.
一名13岁的马来女学生,此前一直看似正常,出现了持续三个月的发热、不适和体重减轻症状。她有贫血,血沉、乳酸脱氢酶、C反应蛋白、铁蛋白值升高,结核菌素试验呈阳性。她的常规胸部X光片显示肺门突出,提示肺门淋巴结肿大。胸部CT扫描显示后纵隔有一个肿块,其组织病理学提示为尤因肉瘤。肿瘤位置的罕见性及其不寻常的表现方式促使我们报告此病例。