胸腔积液作为纵隔畸胎瘤的罕见表现：一例报告
Pleural effusion as a rare manifestation of mediastinal teratoma: A case report.
作者信息
Razi Ebrahim, Imani Aida, Ansari Iman, Khamechian Tehereh, Davoodabadi Abdolhossein
机构信息
Department of Internal Medicine, Kashan University of Medical Sciences, Kashan, Iran.
Medical Students Research Committee, Shahed University, Tehran, Iran.
出版信息
Respir Med Case Rep. 2017 Jul 27;22:142-144. doi: 10.1016/j.rmcr.2017.07.012. eCollection 2017.
Pleural effusion as one of the most common manifestations of pulmonary diseases is a rare symptom of anterior mediastinal teratoma that might mislead general physicians. In this study we report a rare case of pleural effusion and anterior mediastinal teratoma accompanying each other. The patient was a 21-year-old woman who suffered from dyspnea, cough, fever and manifestations of pleural effusion were obvious in chest X Ray (CXR). Computed tomography scan showed a cystic mass with lipid component. After thoracotomy, a mass was taken out from medial lobe of right lung and the results of pathology showed the mature mediastinal teratoma. The patient remained well with no evidence of recurrence on follow-up CXRs 6 months after the surgery.
胸腔积液作为肺部疾病最常见的表现之一，是前纵隔畸胎瘤的罕见症状，这可能会误导普通内科医生。在本研究中，我们报告了一例罕见的胸腔积液与前纵隔畸胎瘤并存的病例。该患者为一名21岁女性，出现呼吸困难、咳嗽、发热症状，胸部X光（CXR）显示胸腔积液表现明显。计算机断层扫描显示一个含有脂质成分的囊性肿块。开胸手术后，从右肺中叶取出一个肿块，病理结果显示为成熟的纵隔畸胎瘤。术后6个月的随访胸部X光检查显示患者情况良好，无复发迹象。
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