Kang Min Kyun, Kang Do Kyun, Hwang Youn-Ho, Kim Ji Yeon
Department of Thoracic and Cardiovascular Surgery Haeundae Paik Hospital, Inje University College of Medicine Busan South Korea.
Department of Pathology Haeundae Paik Hospital, Inje University College of Medicine Busan South Korea.
Respirol Case Rep. 2020 Mar 5;8(3):e00548. doi: 10.1002/rcr2.548. eCollection 2020 Apr.
This case was about a 71-year-old man presented to our clinic for an anterior mediastinal mass found on routine chest computed tomography (CT). CT scan showed a lobulating contoured mass in the anterior mediastinum. A preliminary diagnosis was thymoma. The patient underwent subxiphoid uniportal video-assisted thoracoscopic surgery for the extended thymectomy and complete excision of the tumour. The pathological examination showed a micronodular thymoma with lymphoid stroma (MTWLS). In conclusion, this report described an extremely rare tumour, MTWLS, and MTWLS might be considered in the differential diagnosis of mediastinal tumour, especially thymoma.
该病例为一名71岁男性，因常规胸部计算机断层扫描（CT）发现前纵隔肿块前来我院就诊。CT扫描显示前纵隔有一个分叶状肿块。初步诊断为胸腺瘤。患者接受了剑突下单孔电视辅助胸腔镜手术，以扩大胸腺切除术并完整切除肿瘤。病理检查显示为微结节性胸腺瘤伴淋巴样间质（MTWLS）。总之，本报告描述了一种极为罕见的肿瘤MTWLS，在纵隔肿瘤尤其是胸腺瘤的鉴别诊断中可能需要考虑MTWLS。
