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儿童纵隔成熟性囊性畸胎瘤压迫右心房:一例罕见病例报告

Mature cystic teratoma of mediastinum compressing the right atrium in a child: A rare case report.

作者信息

AlHarbi Khulood M, Sairafi Mona H, Almuzaini Samah A

机构信息

Pediatric Department, College of Medicine, Taibah University, Almadinah Almunawwarah, KSA.

Pediatric Department, Medina Maternity & Children's Hospital, Almadinah Almunawwarah, KSA.

出版信息

J Taibah Univ Med Sci. 2017 Aug 12;12(6):555-560. doi: 10.1016/j.jtumed.2017.06.007. eCollection 2017 Dec.

Abstract

Teratomas or Germ cell tumours (GCTs) are interesting because of their obscure origin, bizarre microscopic appearance and unpredictable behaviour. Mediastinal teratoma is a slowly growing and rare tumour found in children that is diagnosed incidentally in asymptomatic patients. Most of the symptoms are related to mass compression effects such as chest pain, cough, respiratory distress and dysphagia. We report a 5-year-old male child who presented with a history of foreign body ingestion, sternal and left upper quadrant pain and vomiting without respiratory distress. The patient was incidentally found to have an anterior mediastinal mass compressing the right atrium and was diagnosed by histopathological examination as having a mature cystic teratoma of the mediastinum. The patient was successfully treated by the surgical resection of the tumour.

摘要

畸胎瘤或生殖细胞肿瘤(GCTs)因其起源不明、显微镜下外观怪异以及行为不可预测而备受关注。纵隔畸胎瘤是一种生长缓慢的罕见肿瘤,多见于儿童,在无症状患者中偶然被诊断出来。大多数症状与肿块压迫效应有关,如胸痛、咳嗽、呼吸窘迫和吞咽困难。我们报告一名5岁男童,有异物吞食史、胸骨和左上腹疼痛及呕吐,但无呼吸窘迫。该患者偶然发现前纵隔肿块压迫右心房,经组织病理学检查诊断为纵隔成熟囊性畸胎瘤。患者通过手术切除肿瘤获得成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8524/6695001/027c112ad9ed/gr1.jpg

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