Østergaard Mia L, Petersen Rene H, Kalhauge Anna
Department of Radiology Rigshospitalet, Copenhagen, Denmark.
Department of Cardiothoracic Surgery Rigshospitalet, Copenhagen, Denmark.
Acta Radiol Open. 2015 Sep 8;4(9):2058460115595659. doi: 10.1177/2058460115595659. eCollection 2015 Sep.
A chondrosarcoma in the anterior mediastinum is a rare finding with a relatively good prognosis. We describe a case of a 75-year-old man with a 2-year history of neck discomfort and weight loss. Imaging showed a homogenous tumor with a minor compression on the anterior part of the heart. It had close relation to the ribs, no surrounding fat, and a thymoma was suspected. Biopsy prior to surgery was impossible due to the location of the tumor. Unfortunately, final pathology from the surgical specimen revealed a chondrosarcoma.
前纵隔软骨肉瘤是一种罕见的发现，预后相对较好。我们描述了一例75岁男性患者，有2年颈部不适和体重减轻的病史。影像学检查显示为均匀性肿瘤，对心脏前部有轻微压迫。它与肋骨关系密切，无周围脂肪，怀疑为胸腺瘤。由于肿瘤位置原因，术前无法进行活检。不幸的是，手术标本的最终病理显示为软骨肉瘤。
