Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
Department of Thoracic Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Gen Thorac Cardiovasc Surg. 2020 Dec;68(12):1551-1554. doi: 10.1007/s11748-020-01333-2. Epub 2020 Mar 11.
A 73-year-old man presented with multiple liver nodules on an abdominal echogram. Fluorine-18-fluorodeoxyglucose (FDG)-positron emission tomography computed tomography (PET-CT) showed multiple nodules in his anterior and posterior mediastinum, and liver. Following thymothymectomy with lymph node dissection, the liver nodules were completely resected. Finally, he was diagnosed with combined thymic tumor (small cell carcinoma and type B3 thymoma) with multiple mediastinal lymph nodes and liver metastases by type B3 thymoma. Follow-up PET-CT scan revealed multiple rib and celiac lymph node metastases, six courses of chemotherapy (paclitaxel and carboplatin) were administered, and the patient survived without any recurrence for 15 years after initial surgery.
一位 73 岁男性在腹部超声检查时发现多个肝脏结节。氟-18-氟代脱氧葡萄糖（FDG）-正电子发射断层扫描计算机断层扫描（PET-CT）显示其前纵隔和后纵隔以及肝脏有多个结节。行胸腺切除术和淋巴结清扫术，肝脏结节完全切除。最终，根据 B3 型胸腺瘤诊断为合并胸腺瘤（小细胞癌和 B3 型胸腺瘤），伴多发纵隔淋巴结和肝转移。随访 PET-CT 扫描显示多发肋骨和腹腔淋巴结转移，给予 6 个疗程化疗（紫杉醇和顺铂），患者初始手术后 15 年无任何复发且存活。
