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[纵隔生殖细胞瘤合并先天性锁骨下动脉盗血现象罕见异常患者的治疗]

[Treatment of a patient with mediastinal germinoma and with rare anomaly of congenital subclavian steal phenomenon].

作者信息

Shimizu N, Nakata M, Date H, Moriyama S, Kurita A, Teramoto S

出版信息

Nihon Kyobu Geka Gakkai Zasshi. 1989 Aug;37(8):1597-601.

PMID:2809326
Abstract

A 40-year-old male with anterior mediastinal germinoma, who had developed cardiac tamponade, was treated with two courses of chemotherapy consisting of CDDP, Vindesine, Pepleomycin. After marked decrease of tumor size was obtained, complete surgical resection was performed. Following the operation, he received one more course of chemotherapy and 40 Gray of radiation therapy. He is now in good health 7 months after operation without showing any sign of recurrence. This case was also associated with right aortic arch and congenital subclavian steal phenomenon. These rare anomalies were reported only some 40 cases in the literature and the case with those rare anomalies and the mediastinal tumor was not seen in the literature.

摘要

一名40岁男性,患有前纵隔生殖细胞瘤并已发展为心脏压塞,接受了两个疗程的化疗,化疗方案为顺铂、长春地辛、平阳霉素。在肿瘤大小显著减小后,进行了完整的手术切除。术后,他又接受了一个疗程的化疗和40格雷的放射治疗。术后7个月,他目前身体健康,未显示任何复发迹象。该病例还伴有右位主动脉弓和先天性锁骨下动脉盗血现象。这些罕见的异常在文献中仅报道了约40例,文献中未见有同时存在这些罕见异常和纵隔肿瘤的病例。

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1
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Nihon Kyobu Geka Gakkai Zasshi. 1989 Aug;37(8):1597-601.
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