Sano Atsushi, Kawashima Mitsuaki
Department of Thoracic Surgery, Chigasaki Municipal Hospital, Chigasaki, Japan.
Kyobu Geka. 2014 Jun;67(6):459-62.
A 64-year-old woman with a mediastinal tumor incidentally found on computed tomography( CT) was referred to our hospital. CT and magnetic resonance imaging( MRI) showed the tumor had a clear border and was located on the right side of the 12th thoracic vertebra, spanning the thoracic and abdominal cavities. She was suspected of having a benign neurogenic tumor of the mediastinum. She underwent tumor resection through the tenth intercostal space via a posterolateral thoracotomy. We easily resected the tumor using this approach. Pathological examination revealed a benign schwannoma of the mediastinum. Although this approach is rarely chosen by thoracic surgery, it is sometimes useful for the resection of mediastinal tumors near the diaphragm.
一名64岁女性因计算机断层扫描（CT）偶然发现纵隔肿瘤，被转诊至我院。CT和磁共振成像（MRI）显示肿瘤边界清晰，位于第12胸椎右侧，跨越胸腔和腹腔。她被怀疑患有纵隔良性神经源性肿瘤。她通过后外侧开胸经第10肋间间隙进行了肿瘤切除术。通过这种方法我们轻松切除了肿瘤。病理检查显示为纵隔良性神经鞘瘤。尽管胸外科很少选择这种方法，但它有时对切除靠近膈肌的纵隔肿瘤很有用。
