Mizutani Eiki, Nakahara Kazuki, Miyanaga Shigeki, Seike Ayako, Kishida Yukiko, Tamura Koichi
Department of Thoracic Surgery, Tokyo Teishin Hospital, Tokyo, Japan.
Kyobu Geka. 2014 May;67(5):423-5.
We herein report a case of malignant peripheral nerve sheath tumor that caused a hemothorax. A 39-year-old male was found to have an abnormal shadow on a chest X-ray. Chest computed tomography showed a 60-mm tumor in the right posterior mediastinum. Fourteen months earlier, he underwent drainage of a hemothorax with a medaistinal tumor but refused to undergo further examinations. We performed a tumor resection combined with the right lower lobectomy and the partial resection of the pericardium because of invasion. The histological examination confirmed the diagnosis of a malignant peripheral nerve sheath tumor. Postoperative radiotherapy was performed. The patient has been well without recurrence for 9 months.
我们在此报告一例导致血胸的恶性周围神经鞘瘤病例。一名39岁男性胸部X线检查发现异常阴影。胸部计算机断层扫描显示右后纵隔有一个60毫米的肿瘤。14个月前，他因纵隔肿瘤接受了血胸引流，但拒绝进一步检查。由于肿瘤侵犯，我们进行了肿瘤切除并联合右下肺叶切除术和心包部分切除术。组织学检查确诊为恶性周围神经鞘瘤。术后进行了放疗。患者术后9个月情况良好，无复发。
