Todani T, Watanabe Y, Toki A, Urushihara N, Sato Y
Department of Paediatric Surgery, Kagawa Medical School, Japan.
Z Kinderchir. 1990 Apr;45(2):120-2. doi: 10.1055/s-2008-1042564.
A male infant presenting with paraplegia due to intraspinal extension of an endodermal sinus tumour in the posteroinferior mediastinum is reported. Dumbbell tumours are usually observed in mediastinal neuroblastomas, and rarely in rhabdomyosarcomas of the chest wall. The present case demonstrates the clinical similarity of endodermal sinus tumours to neuroblastomas with extradural extension. Therefore, endodermal sinus tumours should be considered in the differential diagnosis of posterior mediastinal masses, because of the distinctly different treatment from that for other tumours.
本文报道了一名男性婴儿，因后下纵隔内胚层窦瘤向椎管内扩展而出现截瘫。哑铃状肿瘤通常见于纵隔神经母细胞瘤，在胸壁横纹肌肉瘤中罕见。本例显示了内胚层窦瘤与伴有硬膜外扩展的神经母细胞瘤在临床上的相似性。因此，由于内胚层窦瘤的治疗方法与其他肿瘤明显不同，在鉴别诊断后纵隔肿块时应考虑到该肿瘤。
