Iyer Anand, Malik Paras, Krishnan Ramya, Kugathasan Gana, Ayobami Opeyemi, Edwards Mark
Department of Cardiothoracic Surgery, Royal Perth Hospital, Perth, Australia.
Asian Cardiovasc Thorac Ann. 2013 Dec;21(6):744-5. doi: 10.1177/0218492312470668. Epub 2013 Jul 16.
Thymomas rarely present with chest pain due to hemorrhage. This could cause shortness of breath if it ruptures into the pleural space, and is best managed surgically. We describe the case of an 83-year-old woman who presented with such symptoms. Computed tomography showed a ruptured mediastinal mass with pleural effusion. She was managed successfully by thoracotomy with excision of the mass and drainage of the effusion. Histopathology revealed a ruptured thymoma with infarction and necrosis.
胸腺瘤因出血而出现胸痛的情况极为罕见。如果它破裂进入胸腔，可能会导致呼吸急促，而手术治疗是最佳处理方式。我们描述了一位出现此类症状的83岁女性的病例。计算机断层扫描显示纵隔肿物破裂并伴有胸腔积液。通过开胸手术切除肿物并引流积液，她得到了成功治疗。组织病理学显示为破裂的胸腺瘤伴梗死和坏死。
