Xiao-Dong Li, Li Zhang, Xiu-Mei Duan, Ming-Bo Tang, Xiao-Cong Wang
Department of Echocardiography, The First Hospital of Jilin University, Changchun, Jilin, China.
Department of Radiology, The First Hospital of Jilin University, Changchun, Jilin, China.
J Clin Ultrasound. 2019 Jul;47(6):380-383. doi: 10.1002/jcu.22686. Epub 2019 Jan 11.
The diagnosis of mediastinal space-occupying lesions largely relies on X-ray and computed tomography. However, thanks to technological progress, transthoracic echocardiography can clearly display the mediastinal structures surrounding the heart and great vessels, thereby improving the detection rate of mediastinal space-occupying lesions. Primary mediastinal teratoma is relatively rare, and removal of giant mediastinal teratoma by thoracoscopic surgery has rarely been reported. Here, we report a case of giant mediastinal teratoma diagnosed by transthoracic echocardiography, which was treated by complete thoracoscopic resection and confirmed by histology.
纵隔占位性病变的诊断很大程度上依赖于X线和计算机断层扫描。然而,由于技术进步,经胸超声心动图能够清晰显示心脏和大血管周围的纵隔结构,从而提高纵隔占位性病变的检出率。原发性纵隔畸胎瘤相对少见,经胸腔镜手术切除巨大纵隔畸胎瘤的报道甚少。在此,我们报告1例经胸超声心动图诊断的巨大纵隔畸胎瘤病例,该病例通过胸腔镜完整切除并经组织学证实。