Department of Thoracic Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Department of Pathology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Thorac Cancer. 2019 Oct;10(10):2031-2034. doi: 10.1111/1759-7714.13168. Epub 2019 Aug 28.
Here, we report a rare case of thymic carcinoma (TC) associated with dermatomyositis (DM) and interstitial pneumonia (IP) in a 68-year-old man. The patient presented with the characteristic features of a skin rash with Gottron's papules and increased serum levels of muscle-associated enzymes. Computed tomography (CT) showed the presence of an anterior mediastinal soft tissue mass with IP, which was diagnosed as TC by CT-guided tumor biopsy. The patients DM and IP disappeared completely after radical resection of the tumor. After a 20-month follow-up period, the patient was in good clinical condition without disease recidivism.
在这里，我们报告了一例罕见的胸腺癌（TC）合并皮肌炎（DM）和间质性肺炎（IP）的病例，患者为 68 岁男性。该患者表现为具有 Gottron 丘疹的皮疹特征和肌肉相关酶水平升高。计算机断层扫描（CT）显示存在前纵隔软组织肿块和 IP，经 CT 引导下肿瘤活检诊断为 TC。患者的 DM 和 IP 在肿瘤根治性切除后完全消失。经过 20 个月的随访，患者临床状况良好，无疾病复发。
