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膈部副神经节瘤突入右侧胸腔。

Diaphragmatic paraganglioma protruding into the right thoracic cavity.

机构信息

Department of General Thoracic Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

出版信息

Thorac Cancer. 2021 Apr;12(7):1115-1117. doi: 10.1111/1759-7714.13865. Epub 2021 Feb 10.

DOI:10.1111/1759-7714.13865
PMID:33569902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8017257/
Abstract

Paragangliomas in the diaphragm are extremely rare. We report the case of a 27-year-old woman with a nonfunctioning paraganglioma protruding superiorly from the right diaphragm. The patient underwent an anterior thoracotomy, and a supradiaphragmatic tumor (70 mm in diameter), which compressed the inferior vena cava and the right hepatic vein, was completely resected by combined partial resection of the right diaphragm and pericardium. To our knowledge, this is the first report of a paraganglioma situated both on the diaphragm and close to the inferior vena cava and hepatic vein. KEY POINTS.

摘要

膈部副神经节瘤极其罕见。我们报告了 1 例 27 岁女性患者，其右侧膈部有一无功能性副神经节瘤向膈上突出。患者接受了前开胸手术，通过联合部分切除右膈肌和心包，完全切除了直径为 70mm 的膈上肿瘤（压迫下腔静脉和右肝静脉）。据我们所知，这是首例报道的同时位于膈部且靠近下腔静脉和肝静脉的副神经节瘤。关键点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/908a/8017257/d7f0d632a81b/TCA-12-1115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/908a/8017257/6699ae824de2/TCA-12-1115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/908a/8017257/d7f0d632a81b/TCA-12-1115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/908a/8017257/6699ae824de2/TCA-12-1115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/908a/8017257/d7f0d632a81b/TCA-12-1115-g003.jpg

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本文引用的文献

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Diagnosis and treatment of a diaphragmatic pheochromocytoma: A case report.膈下嗜铬细胞瘤的诊断与治疗：一例报告
Int J Surg Case Rep. 2020;71:78-81. doi: 10.1016/j.ijscr.2020.04.018. Epub 2020 May 7.
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Clinical risk factors for malignancy and overall survival in patients with pheochromocytomas and sympathetic paragangliomas: primary tumor size and primary tumor location as prognostic indicators.临床因素与嗜铬细胞瘤和副神经节瘤患者的恶性肿瘤和总体生存率相关：肿瘤大小和肿瘤位置是预后指标。
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Anterior and middle mediastinum paraganglioma: complete resection is the treatment of choice.前纵隔和中纵隔副神经节瘤：完整切除是首选治疗方法。
Ann Thorac Surg. 1994 Jan;57(1):249-52. doi: 10.1016/0003-4975(94)90419-7.
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Diaphragmatic pheochromocytoma.膈神经嗜铬细胞瘤。
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