Vernon Jordyn, Schieman Colin, Schneider Laura, Hanna Waël C
Division of Thoracic Surgery, St. Joseph's Healthcare Hamilton, McMaster University, Hamilton, ON, Canada.
Division of Thoracic Surgery, St. Joseph's Healthcare Hamilton, McMaster University, Hamilton, ON, Canada
J Surg Case Rep. 2015 Mar 25;2015(3):rjv030. doi: 10.1093/jscr/rjv030.
We report an extremely rare case of a thymic carcinoma occurring in the subcarinal location of the middle mediastinum, masquerading as subcarinal adenopathy. A 6.2 × 5 cm mass was detected on computed tomography scan and found to be hypermetabolic on positron emission tomography scan. Transbronchial biopsy was performed and the mass was found to be suspicious for malignancy. A thoracoscopic resection of the mass was performed and found to be thymic carcinoma. The patient underwent a course of adjuvant radiation. To the best of our knowledge, this is the first reported case of a thymic carcinoma resected from the middle mediastinum.
我们报告了一例极为罕见的胸腺肿瘤病例，该肿瘤位于中纵隔隆突下位置，伪装成隆突下腺病。计算机断层扫描发现一个6.2×5厘米的肿块，正电子发射断层扫描显示该肿块代谢活跃。进行了经支气管活检，发现该肿块疑似恶性。对该肿块进行了胸腔镜切除，结果为胸腺肿瘤。患者接受了辅助放疗。据我们所知，这是首例报道的从中纵隔切除的胸腺肿瘤病例。
