肺转移性胃癌酷似巨大纵隔囊肿。

Pulmonary metastatic gastric cancer mimicking a giant mediastinal cyst.

机构信息

Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

出版信息

Ann Thorac Surg. 2014 Jul;98(1):329-31. doi: 10.1016/j.athoracsur.2013.09.063.

DOI:10.1016/j.athoracsur.2013.09.063

PMID:24996717

Abstract

Cysts and cavities are common radiologic abnormalities. Pulmonary metastasis comprises a rare entity of thoracic cystic diseases. We reported a case of giant cyst at the left anterior mediastinum that was pathologically confirmed as a lung metastasis from previously resected gastric cancer. The cyst was completely removed with wedge resection of the surrounding lung through a left anterior thoracotomy. One should always keep in mind the possibility of an intrathoracic cyst near or at the mediastinal region that may originate from metastatic lesions to the lungs when patients have previous cancer history.

摘要

囊肿和空洞是常见的放射学异常。肺转移是胸部囊性疾病的罕见实体。我们报告了一例左前纵隔巨大囊肿，经病理证实为先前切除的胃癌肺转移。通过左前开胸术行楔形切除周围肺组织，完全切除囊肿。当患者有既往癌症病史时，对于靠近或位于纵隔区域的胸腔内囊肿，应始终牢记其可能来源于肺部转移病灶的可能性。