Department of General Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
Department of General Thoracic Surgery, Okayama University Hospital, Okayama, Japan.
Ann Thorac Surg. 2014 Mar;97(3):1077-80. doi: 10.1016/j.athoracsur.2013.06.100.
A 72-year-old woman was referred to our hospital because of a posterior mediastinal tumor. On the basis of detailed imaging tests, including (123)I-metaiodobenzylguanidine single photon emission computed tomography-computed tomography, and elevated values of catecholamines in the plasma and urine, the tumor was diagnosed as a functional mediastinal paraganglioma even in the absence of symptoms. After preoperative blood pressure control, surgical resection was performed. During the operation, the systemic blood pressure increased transiently as a result of surgical manipulation of the tumor. Soon after the tumor was removed, the patient conversely experienced hypotension. The postoperative course was uneventful, and pathologic diagnosis revealed a paraganglioma.
一位 72 岁女性因后纵隔肿瘤被转至我院。尽管没有症状，但根据包括碘-123 间碘苄胍单光子发射计算机断层扫描-计算机断层扫描在内的详细影像学检查，以及血浆和尿液儿茶酚胺水平升高，该肿瘤被诊断为功能性纵隔副神经节瘤。在术前血压控制后，进行了手术切除。在手术过程中，由于肿瘤的手术操作，患者的全身血压短暂升高。肿瘤切除后不久，患者反而出现低血压。术后过程平稳，病理诊断为副神经节瘤。
