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胸腺癌伴纵隔淋巴结转移的直接食管内生长。

Direct Intraesophageal Growth from Metastatic Mediastinal Lymphadenopathy in Thymic Carcinoma.

机构信息

Second Department of Internal Medicine, Shinshu University School of Medicine, Japan.

Department of Comprehensive Cancer Therapy, Shinshu University School of Medicine, Japan.

出版信息

Intern Med. 2021 Mar 15;60(6):923-926. doi: 10.2169/internalmedicine.5501-20. Epub 2020 Oct 21.

DOI:10.2169/internalmedicine.5501-20
PMID:33087667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8024948/
Abstract

We herein report a case of thymic carcinoma that initially exhibited dysphagia and an intraesophageal mass lesion. A 68-year-old man was admitted to our hospital because of dysphagia. An endoscopic examination revealed a mass on the middle esophagus. Chest computed tomography (CT) showed a huge anterior mediastinal mass and subcarinal lymph node swelling, directly invading into the esophageal lumen. An immunohistological examination of the esophageal and anterior mediastinal masses revealed squamous cell carcinoma originating from the thymus. This is the first report of a thymic carcinoma spreading into the esophageal lumen and forming a mass lesion.

摘要

我们在此报告一例胸腺癌病例，该病例最初表现为吞咽困难和食管内肿块病变。一名 68 岁男性因吞咽困难而被收入我院。内镜检查发现食管中段有一肿块。胸部计算机断层扫描（CT）显示巨大的前纵隔肿块和隆突下淋巴结肿大，直接侵犯食管腔。食管和前纵隔肿块的免疫组织化学检查显示源自胸腺的鳞状细胞癌。这是首例胸腺癌扩散至食管腔并形成肿块病变的报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7844/8024948/1650e7c17d6f/1349-7235-60-0923-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7844/8024948/5282bbc4939e/1349-7235-60-0923-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7844/8024948/e8db1f0d0118/1349-7235-60-0923-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7844/8024948/9f6f3fd09609/1349-7235-60-0923-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7844/8024948/1650e7c17d6f/1349-7235-60-0923-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7844/8024948/5282bbc4939e/1349-7235-60-0923-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7844/8024948/e8db1f0d0118/1349-7235-60-0923-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7844/8024948/9f6f3fd09609/1349-7235-60-0923-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7844/8024948/1650e7c17d6f/1349-7235-60-0923-g004.jpg

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Immunoreactivity of a new CD5 antibody with normal epithelium and malignant tumors including thymic carcinoma.一种新型CD5抗体与正常上皮及包括胸腺癌在内的恶性肿瘤的免疫反应性。
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