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右心室流出道梗阻的罕见病因:前纵隔畸胎瘤。

A rare cause of right ventricle out flow tract obstruction: Anterior mediastinal teratoma.

作者信息

Chaudhry Ikram Ul Haq, Cheema Ahsan, Aqeel Chaudhry, Alshaer Ahmed A, Alradei Fahad G, Ali Mohiudin G

机构信息

Department of Thoracic Surgery King Fahad Specialist Hospital Dammam Saudi Arabia, Saudi Arabia.

出版信息

Ann Med Surg (Lond). 2021 Jan 22;62:258-260. doi: 10.1016/j.amsu.2021.01.043. eCollection 2021 Feb.

DOI:10.1016/j.amsu.2021.01.043
PMID:33537140
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7841217/
Abstract

A 36 years old female presented with six months history of shortness of breath, fatigue, and tiredness. Her chest X-Ray showed a left mediastinal mass. A computed tomographic scan (CT)of the chest revealed a left mediastinal mass, exhibiting typical teratoma features. An echocardiogram showed compression of the main pulmonary artery causing right ventricular out flow tract obstruction. The tumor was resected through a left thoracotomy, and the patient improved dramatically after surgery. She was discharged home for further follow-up.

摘要

一名36岁女性,有6个月的呼吸急促、乏力和疲倦病史。她的胸部X光显示左纵隔有肿块。胸部计算机断层扫描(CT)显示左纵隔有肿块,具有典型的畸胎瘤特征。超声心动图显示主肺动脉受压,导致右心室流出道梗阻。通过左胸切开术切除肿瘤,术后患者病情显著改善。她出院回家进行进一步随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf1b/7841217/1a22f2a96d54/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf1b/7841217/a39e6b342334/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf1b/7841217/1a22f2a96d54/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf1b/7841217/a39e6b342334/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf1b/7841217/1a22f2a96d54/gr2.jpg

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本文引用的文献

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Mediastinal mature teratoma perforating the right lung that was successfully resected with complete thoracoscopic surgery: A case report.纵隔成熟畸胎瘤穿破右肺,经全胸腔镜手术成功切除:病例报告
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The SCARE 2018 statement: Updating consensus Surgical CAse REport (SCARE) guidelines.SCARE 2018 声明:更新共识手术病例报告(SCARE)指南。
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A Rare Presentation of Anterior Mediastinal Teratoma Mimicking Valvular Heart Disease with A Systolic Murmur.
表现为收缩期杂音、酷似瓣膜性心脏病的前纵隔畸胎瘤的罕见病例
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A 31-year-old woman with hemoptysis and an intrathoracic mass.一名31岁咯血伴胸腔内肿块的女性。
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Dermoid cysts and teratomas of the mediastinum with unusual features.具有不寻常特征的纵隔皮样囊肿和畸胎瘤。
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Intrapulmonary teratoma: an exceptional disease.肺内畸胎瘤:一种罕见疾病。
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Dis Chest. 1955 May;27(5):537-41. doi: 10.1378/chest.27.5.537.
9
Abscesses of myocardium due to suppurative mediastinal dermoid: angiocardiographic and pathologic study.化脓性纵隔皮样囊肿所致心肌脓肿:心血管造影及病理研究
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10
An intrapulmonary teratoma associated with bronchiectasia containing various kinds of primordium: a case report and review of the literature.一例与支气管扩张相关的肺内畸胎瘤,含有各种原基:病例报告及文献复习
Virchows Arch. 2000 Apr;436(4):384-8. doi: 10.1007/s004280050463.