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中后纵隔巨大胸腺瘤:一名年轻成年人中的罕见病例。

Massive thymoma of the mid-posterior mediastinum: an unprecedented case in a young adult.

作者信息

de Oliveira Karen Fernandes, Rodrigues Marcio Maciel, Lopes Gesner Pereira, de Almeida Renan Sandoval, Lusvarghi Juliana Lopes, Dos Santos João Paulo Vieira

机构信息

MD, Resident in Dermatology at the Hospital Universitário de Brasília (HUB), Brasília, DF, Brazil.

Fellow in Oncological Radiology at the Instituto do Câncer do Estado de São Paulo Octavio Frias de Oliveira (Icesp), São Paulo, SP, Brazil.

出版信息

Radiol Bras. 2016 Nov-Dec;49(6):403-405. doi: 10.1590/0100-3984.2014.0025.

Abstract

We report an unprecedented case of ectopic thymoma in a young adult. A 33-year-old male presented with a 10-day history of non-productive cough and fever. Investigation revealed mediastinal widening without pulmonary involvement. Computed tomography showed a large mass-14.8 × 10.8 × 8.4 cm-in the mid-posterior mediastinum, and a biopsy obtained by video-assisted thoracoscopy indicated that the mass was a tumor. Immunohistochemistry showed combined thymoma type AB1. Because of the considerable proportions of the tumor and its close proximity to major structures, the patient was treated with chemotherapy.

摘要

我们报告了一例年轻成年人中前所未有的异位胸腺瘤病例。一名33岁男性出现干咳和发热10天的病史。检查发现纵隔增宽但无肺部受累。计算机断层扫描显示中后纵隔有一个14.8×10.8×8.4厘米的大肿块,通过电视辅助胸腔镜活检表明该肿块是肿瘤。免疫组织化学显示为AB1型混合型胸腺瘤。由于肿瘤占比相当大且紧邻主要结构,该患者接受了化疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/912f/5210037/d1fe5e529589/rb-49-06-0403-g01.jpg

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