Fujimura Y, Kobayashi T, Nawata S, Hirayama T, Mori F, Esato K
First Department of Surgery, Yamaguchi University School of Medicine, Ube, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1990 Jan;38(1):126-9.
We experienced a surgical case of large Hodgkin's lymphoma of the thymus. An 18 year-old male who had been complaining of a persistent cough was admitted to our hospital. Chest X-ray film showed an anterosuperior mediastinal tumor. But there was no superficial lymphadenopathy and hepatosplenomegaly. He received a surgical extirpation of the tumor approached by median sternotomy. The tumor expanded to the whole antero superior mediastinal region, which was 18.5 X 15 X 5.5 cm in size, surrounding the trachea and main branch of aortic arch and veins. The tumor directly invaded the bilateral pleura and left innominate vein, so these regions were resected with the tumor. The left innominate vein was reconstructed with a PTFE graft. The pathological diagnosis was Hodgkin's lymphoma nodular sclerosis type by LSG classification. A post operative course was uneventful.
我们遇到了一例胸腺大霍奇金淋巴瘤的外科病例。一名18岁男性因持续咳嗽入院。胸部X光片显示前上纵隔肿瘤。但无浅表淋巴结肿大及肝脾肿大。他接受了经正中胸骨切开术的肿瘤切除手术。肿瘤扩展至整个前上纵隔区域，大小为18.5×15×5.5厘米，包绕气管、主动脉弓主支及静脉。肿瘤直接侵犯双侧胸膜及左无名静脉，因此这些区域与肿瘤一并切除。用聚四氟乙烯移植物重建左无名静脉。病理诊断为LSG分类的结节硬化型霍奇金淋巴瘤。术后过程顺利。
