*Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX; †Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Suita-City, Osaka, Japan; and ‡Division of Thoracic Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT.
J Thorac Oncol. 2014 Sep;9(9 Suppl 2):S110-8. doi: 10.1097/JTO.0000000000000295.
Mediastinal masses are relatively uncommon, yet include a large variety of entities. Some tumors can be diagnosed with confidence based on imaging alone; others when a typical appearance is combined with the right clinical presentation. A structured approach for radiologists is presented to facilitate evaluation of patients with anterior mediastinal tumors. The approach focuses first on the more common tumors and on imaging features that strongly suggest a particular diagnosis. Discussion with the clinician can be very helpful in formulating a presumptive diagnosis. This article also discusses that confirmatory imaging or biopsy tests are most beneficial in particular situations.
纵隔肿块相对少见，但种类繁多。一些肿瘤仅通过影像学检查即可明确诊断；而另一些肿瘤则需要典型的影像学表现结合相应的临床表现。本文为放射科医生提供了一种结构化的方法，以帮助评估前纵隔肿瘤患者。该方法首先侧重于更常见的肿瘤和强烈提示特定诊断的影像学特征。与临床医生进行讨论对于制定初步诊断非常有帮助。本文还讨论了在特定情况下，确认性影像学或活检检查最有益。
