前纵隔神经鞘瘤伴大量心包积液。
Schwannoma in anterior mediastinum with massive pericardial effusion.
作者信息
Vaish Arvind Kumar, Verma Sudhir Kumar, Shakya Shobhit, Goel Madhu Mati
机构信息
Department of Internal Medicine, CSM Medical University, Lucknow, Uttar Pradesh, India.
出版信息
BMJ Case Rep. 2012 Dec 13;2012:bcr2012007867. doi: 10.1136/bcr-2012-007867.
Abstract
Schwannoma is a benign nerve sheath neoplasm of schwann cell origin. Mediastinum is the second most common site of schwannoma with majority originating in the posterior medistinum. Mediastinal schwannoma is slow growing and mostly asymptomatic in presentation. We present a case of schwannoma arising in the anterior mediastinum, an unusual location, complicated by massive haemorrhagic pericardial effusion. We recommend an aggressive approach in such cases with pericardiectomy to prevent reaccumulation of the pericardial fluid.
摘要
神经鞘瘤是一种起源于施万细胞的良性神经鞘肿瘤。纵隔是神经鞘瘤的第二常见发生部位，大多数起源于后纵隔。纵隔神经鞘瘤生长缓慢，多数情况下无明显症状。我们报告一例发生在前纵隔这一不寻常部位的神经鞘瘤，该病例并发大量出血性心包积液。我们建议对此类伴有心包积液的病例采取积极的手术方法，即进行心包切除术以防止心包积液再次积聚。
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