Sano Atsushi, Kawashima Mitsuaki
Department of Thoracic Surgery, Chigasaki Municipal Hospital, Chigasaki, Japan.
Department of Thoracic Surgery, Chigasaki Municipal Hospital, Chigasaki, Japan.
Ann Thorac Surg. 2014 Dec;98(6):2202-4. doi: 10.1016/j.athoracsur.2014.01.084. Epub 2014 Dec 1.
A 59-year-old man was referred to our department for evaluation of an asymptomatic abnormal mediastinal shadow detected on chest roentgenogram. Computed tomography (CT) of the chest showed an anterior mediastinal tumor with ring calcification. Thymectomy through a median sternotomy was performed. Pathologic examination showed an encapsulated type B2 thymoma with ring calcification. Microscopically, the calcified layer was within the fibrous capsule layer. A part of the fibrous capsule was thought to become calcified like a ring. Although focal calcification is sometimes found in thymomas, ring calcification is rare.
一名59岁男性因胸部X线检查发现无症状纵隔异常阴影而转诊至我科。胸部计算机断层扫描(CT)显示前纵隔肿瘤伴环状钙化。通过正中胸骨切开术进行了胸腺切除术。病理检查显示为包膜型B2胸腺瘤伴环状钙化。显微镜下,钙化层位于纤维包膜层内。部分纤维包膜被认为像环状一样发生了钙化。虽然胸腺瘤中有时会发现局灶性钙化,但环状钙化很罕见。