Zeng L Q, Liu Q X, Zhang C Y, Wang T S, Shou H S, Yi N T, Zhang S L, Liu F Y
Department of Thoracic Surgery, Second Affiliated Hospital, Henan Medical University, People's Republic of China.
Surg Gynecol Obstet. 1988 Jan;166(1):55-9.
Primary mediastinal tumors and cysts (MTC) constitute a common problem in thoracic operations done in the People's Republic of China. Data from 4,357 instances of MTC diagnosed in China between 1963 and 1985, including 307 from our own facility, are presented. Teratoid tumors are the most common of the MTC in the northern part of China contrasting with thymomas and neurogenic tumors which are the most common in the southern part of China; a finding that notes a significant difference (p less than 0.01). Beyond this, the distribution of MTC is different than in North America. In patients we studied, we were able to predict the correct histopathologic diagnosis 80 per cent of the time by considering the history of the patient and the results of a conventional roentgenogram of the chest. This was increased to 91.4 per cent when needle biopsy was added. Optimal therapy for MTC is complete surgical resection. We present a scheme for localization of the various types of MTC and an operative approach.
原发性纵隔肿瘤和囊肿（MTC）是中华人民共和国胸外科手术中常见的问题。本文呈现了1963年至1985年间在中国诊断出的4357例MTC的数据，其中包括我们自己机构的307例。在中国北方，畸胎瘤是最常见的MTC，而在中国南方，胸腺瘤和神经源性肿瘤是最常见的；这一发现表明存在显著差异（p小于0.01）。除此之外，MTC的分布与北美不同。在我们研究的患者中，通过考虑患者的病史和胸部常规X线检查结果，我们能够在80%的时间里预测出正确的组织病理学诊断。当增加针吸活检时，这一比例提高到了91.4%。MTC的最佳治疗方法是完整的手术切除。我们提出了一种针对各种类型MTC的定位方案和手术方法。
