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表皮样胸腺囊肿——一种非常罕见的纵隔肿物

Epidermoid Thymic Cyst - A Very Rare Mediastinal Mass.

作者信息

Rodrigues Carolina, Afonso Ana, Fragata José

机构信息

Cardiothoracic Surgery, CUF Infante Santo Hospital, Lisbon, Portugal.

Pathology Department, CUF Descobertas Hospital, Lisbon, Portugal.

出版信息

Rev Port Cir Cardiotorac Vasc. 2019 Oct-Dec;26(4):267-268.

PMID:32006449
Abstract

OBJECTIVES

Thymic cysts represent 1-3% of all tumors in the anterior mediastinum, but their knowledge is important during the differential diagnosis of a mediastinal mass.

METHODS

We describe the case of a 52 years old woman, totally asymptomatic, with an incidental diagnosis of a mediastinal mass at thoracic computed tomography evaluation.

RESULTS

Thoracic magnetic resonance showed an heterogeneous mass with approximately 3,6 cm, at the anterior mediastinum. For diagnostic clarification, surgical excision was performed. The histopathological exam revealed an epidermoid thymic cyst.

CONCLUSION

Surgical excision and histopathological evaluation allow definite diagnosis of this tumor, associated with a good prognosis.

摘要

目的

胸腺囊肿占前纵隔所有肿瘤的1% - 3%,但在纵隔肿块的鉴别诊断中了解它们很重要。

方法

我们描述了一名52岁女性的病例,她完全无症状,在胸部计算机断层扫描评估中偶然诊断出纵隔肿块。

结果

胸部磁共振显示在前纵隔有一个约3.6厘米的不均匀肿块。为明确诊断,进行了手术切除。组织病理学检查显示为表皮样胸腺囊肿。

结论

手术切除和组织病理学评估可明确诊断此肿瘤,且预后良好。

相似文献

1
Epidermoid Thymic Cyst - A Very Rare Mediastinal Mass.表皮样胸腺囊肿——一种非常罕见的纵隔肿物
Rev Port Cir Cardiotorac Vasc. 2019 Oct-Dec;26(4):267-268.
2
Evaluation and therapy of mediastinal thymic cyst.
Am Surg. 1980 Apr;46(4):236-8.
3
Intra-thymic bronchogenic cyst an extremely rare tumor of anterior mediastinum in adults.胸腺内支气管源性囊肿是成人前纵隔一种极其罕见的肿瘤。
J Cardiothorac Surg. 2018 Nov 20;13(1):120. doi: 10.1186/s13019-018-0809-3.
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A thymic cyst in the middle mediastinum: report of a case.一例中纵隔胸腺囊肿报告
Ann Thorac Cardiovasc Surg. 2013;19(1):43-5. doi: 10.5761/atcs.cr.11.01825. Epub 2012 Jun 29.
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Thymic cyst arising in the middle mediastinum posterior to the left atrium--a peculiar location.胸腺囊肿位于左心房后方的中纵隔——一个特殊的位置。
Clin Imaging. 2012 Nov-Dec;36(6):837-9. doi: 10.1016/j.clinimag.2012.02.019. Epub 2012 Jun 8.
6
[A case of thymic cyst differentiated from cardiac cyst with immunostaining].
Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Sep;35(9):1003-7.
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Thymoma arising in a thymic cyst.起源于胸腺囊肿的胸腺瘤。
Ann Thorac Cardiovasc Surg. 2000 Oct;6(5):329-31.
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[Thymic cyst resembling a bronchogenic cyst].[类似支气管源性囊肿的胸腺囊肿]
Nihon Kyobu Shikkan Gakkai Zasshi. 1997 Feb;35(2):201-4.
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[Rare Case of Thymic Epidermoid Cyst;Report of a Case].[胸腺表皮样囊肿罕见病例;1例报告]
Kyobu Geka. 2019 Dec;72(13):1119-1122.
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Mediastinal foregut duplication cyst of enteric type containing a persistent thymus, imitating a pericardial cyst.含持续存在胸腺的肠型纵隔前肠重复囊肿,形似心包囊肿。
Bratisl Lek Listy. 2013;114(8):480-3. doi: 10.4149/bll_2013_100.

引用本文的文献

1
Screening differentially expressed proteins to distinguish thymoma (B1 and B3) from thymic cysts based on tandem mass tag (TMT) technology.基于串联质量标签(TMT)技术筛选差异表达蛋白以区分胸腺瘤(B1 和 B3)和胸腺囊肿。
J Cardiothorac Surg. 2024 Oct 21;19(1):610. doi: 10.1186/s13019-024-03114-x.
2
Establishment and Verification of a Prediction Model for Identifying Pathologic Infections Based on the Clinical Characteristics of Epidermoid Cysts.基于表皮样囊肿临床特征的病理感染预测模型的建立与验证。
Surg Infect (Larchmt). 2022 Dec;23(10):908-916. doi: 10.1089/sur.2022.223. Epub 2022 Nov 14.
3
CT Findings of Thymic Epidermoid Cyst in the Anterior Mediastinum: A Case Report and Literature Review.
前纵隔胸腺表皮样囊肿的CT表现:病例报告及文献复习
Taehan Yongsang Uihakhoe Chi. 2022 Jan;83(1):212-217. doi: 10.3348/jksr.2021.0014. Epub 2021 Oct 18.