Matsumoto Jun, Tanaka Nobutaka, Yoshida Yukihiro, Yamamoto Tetsushi
Division of Surgery, Asahi General Hospital, Asahi, Chiba, Japan.
Asian Cardiovasc Thorac Ann. 2013 Aug;21(4):476-8. doi: 10.1177/0218492312459641. Epub 2013 Jul 9.
We describe the case of a 52-year-old woman with a non-functional middle mediastinal paraganglioma. Radiologic diagnosis of paraganglioma was confirmed by multidetector computed tomography and (18)F-fluorodeoxyglucose positron-emission tomography, without biopsy. Surgical resection was performed via a median sternotomy, and cardiopulmonary bypass was required for complete resection of the tumor because of invasion to the intrapericardial pulmonary artery. Preoperative pathological diagnosis of mediastinal paraganglioma by biopsy is dangerous due to bleeding, and should be avoided.
我们描述了一例52岁患有无功能中纵隔副神经节瘤的女性病例。通过多排螺旋计算机断层扫描和（18）F - 氟脱氧葡萄糖正电子发射断层扫描确诊为副神经节瘤，未进行活检。手术切除通过正中胸骨切开术进行，由于肿瘤侵犯心包内肺动脉，完整切除肿瘤需要体外循环。因活检有出血风险，术前通过活检对纵隔副神经节瘤进行病理诊断很危险，应避免。
