Suzuki Hirotoshi, Araki Osamu, Minowa Muneo, Matsuura Yoshifumi, Matsumura Yuji
Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan.
Kyobu Geka. 2017 Jun;70(6):430-433.
A 69-year-old woman was diagnosed with a germ cell tumor in the anterior mediastinum. Following 3 years follow-up, she experienced chest pain and an enlarging of the anterior mediastinal tumor and bilateral lung metastases were detected by chest X-ray. The tumor was diagnosed as a primary malignant mediastinal non-seminomatous germ cell tumor by needle biopsy. After initial radiotherapy (12 Gy/4 Fr), she was subsequently treated with EP chemotherapy which achieved a partial response. Complete resection of the residual tumors in the mediastinum and right lung was performed. No recurrence has been noted for 5 years post-operatively.
一名69岁女性被诊断为前纵隔生殖细胞肿瘤。经过3年随访，她出现胸痛，前纵隔肿瘤增大，胸部X线检查发现双侧肺转移。经针吸活检，肿瘤被诊断为原发性恶性纵隔非精原细胞瘤性生殖细胞肿瘤。初始放疗（12 Gy/4次分割）后，她随后接受EP化疗，获得部分缓解。对纵隔和右肺的残留肿瘤进行了完整切除。术后5年未见复发。
