Motoishi Makoto, Horimoto Kanna, Hayashi Kazuki, Sawai Satoru, Moriyoshi Koki
Department of Thoracic Surgery, National Hospital Organization Kyoto Medical Center, Kyoto, Kyoto, Japan.
Department of Pathology, National Hospital Organization Kyoto Medical Center, Kyoto, Kyoto, Japan.
Ann Thorac Cardiovasc Surg. 2018 Jun 20;24(3):147-150. doi: 10.5761/atcs.cr.17-00042. Epub 2017 Oct 26.
An anterior mediastinal tumor was detected in a 45-year-old female during a medical checkup. Chest computed tomography (CT) showed the anterior mediastinal tumor and a pulmonary tumor in the right lower lobe. Furthermore, tumors of the parathyroid gland, pancreas, and pituitary gland were also detected. She was clinically diagnosed with multiple endocrine neoplasia type1 (MEN1). The patient underwent extended thymectomy combined with mediastinal lymph node dissection and wedge resection of the lung including the right pulmonary lesion via a median sternotomy. We diagnosed the patient with an atypical carcinoid tumor of the thymus, a typical pulmonary carcinoid tumor.
一名45岁女性在体检时发现前纵隔肿瘤。胸部计算机断层扫描（CT）显示前纵隔肿瘤和右下叶肺部肿瘤。此外，还检测到甲状旁腺、胰腺和垂体的肿瘤。她被临床诊断为1型多发性内分泌肿瘤（MEN1）。患者通过正中胸骨切开术接受了扩大胸腺切除术，同时进行纵隔淋巴结清扫和包括右肺病变在内的肺楔形切除术。我们诊断该患者患有胸腺非典型类癌肿瘤，一种典型的肺类癌肿瘤。
