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后纵隔囊性神经鞘瘤罕见地表现为大量胸腔积液。

Rare Presentation of a Posterior Mediastinal Cystic Schwannoma as a Large Pleural Effusion.

作者信息

Mubashir Mujtaba, Salam Abdus, Sonawalla Amyn, Fatima Huma, Fatimi Saulat H

机构信息

Medical School, The Aga Khan University.

Medical College, The Aga Khan University.

出版信息

Cureus. 2017 Aug 10;9(8):e1558. doi: 10.7759/cureus.1558.

DOI:10.7759/cureus.1558
PMID:29021929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5634514/
Abstract

A 46-year-old man presented with shortness of breath and recurrent, left-sided pleural effusions. A computed tomography (CT) scan of the chest showed a large, left-sided pleural effusion with a mass in the posterior mediastinum. A pleural tap showed lymphocytic exudate. The biopsy of the mass was inconclusive. A left posterolateral thoracotomy was performed, which showed a large posterior mediastinal mass adherent to the left lung. The mass was completely excised and the histopathology proved it to be giant predominantly cystic schwannoma. The pleural effusion resolved after tumor resection.

摘要

一名46岁男性因气短及反复发作的左侧胸腔积液就诊。胸部计算机断层扫描(CT)显示左侧大量胸腔积液,后纵隔有一肿块。胸腔穿刺抽出淋巴细胞性渗出液。肿块活检结果不明确。遂行左后外侧开胸手术,术中见一巨大后纵隔肿块与左肺粘连。肿块被完整切除,组织病理学检查证实为以囊性为主的巨大施万细胞瘤。肿瘤切除后胸腔积液消退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c7/5634514/2a34ea7ea5cd/cureus-0009-00000001558-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c7/5634514/31b00242def4/cureus-0009-00000001558-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c7/5634514/b596a1b4103d/cureus-0009-00000001558-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c7/5634514/2a34ea7ea5cd/cureus-0009-00000001558-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c7/5634514/31b00242def4/cureus-0009-00000001558-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c7/5634514/b596a1b4103d/cureus-0009-00000001558-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09c7/5634514/2a34ea7ea5cd/cureus-0009-00000001558-i03.jpg

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Totally cystic intradural schwannoma in thoracic region.胸段完全囊性硬膜内神经鞘瘤
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