Guzzon A, Viganotti G, Bergonzi S, Garbagnati F, Ceglia E
Servizio di Radiologia, Istituto Nazionale Tumori, Milano.
Radiol Med. 1988 Apr;75(4):302-10.
On the ground of the clinical experience gained on thymomas observed during the last decade and controlled by histopathology at the National Cancer Institute of Milan, the authors report and describe the typical morphology of the above neoplasms, which were studied with both the conventional and the most advanced imaging procedures. First of all, the authors point out the common problems of differential diagnosis with other lesions in the anterior mediastinum, with a special emphasis on lymphomas. Attention is also drawn to both the diagnostic and therapeutic value of conventional radiotomographic procedures combined with CT and MRI: in particular, the former can provide an extremely valuable diagnostic support to fine needle biopsy. In the authors' opinion, explorative surgery--e.g. mediastinal endoscopy-is immediately advisable when an unquestionable diagnosis is not reached even after a most rational combination of the different imaging procedures.
基于过去十年间在米兰国家癌症研究所观察到的胸腺瘤临床经验，并经组织病理学验证，作者报告并描述了上述肿瘤的典型形态，这些肿瘤采用了传统和最先进的成像程序进行研究。首先，作者指出了与前纵隔其他病变进行鉴别诊断时的常见问题，特别强调了淋巴瘤。同时也提请注意传统放射断层摄影程序与CT和MRI相结合的诊断和治疗价值：特别是，前者可为细针活检提供极具价值的诊断支持。作者认为，即使在对不同成像程序进行最合理组合后仍无法得出明确诊断时，立即建议进行探索性手术，如纵隔内镜检查。
