Rochefort Matthew M, LeSiege Christopher J, Shi Weiwei, Sholl Lynette M
Brigham and Women's Hospital, Division of Thoracic and Cardiac Surgery, Boston, Massachusetts.
Brigham and Women's Hospital, Division of Thoracic and Cardiac Surgery, Boston, Massachusetts.
Ann Thorac Surg. 2022 May;113(5):e367-e369. doi: 10.1016/j.athoracsur.2021.07.012. Epub 2021 Jul 27.
Ectopic pancreas within the anterior mediastinum is a rare congenital anomaly. We present a case of a solid anterior mediastinal mass that presented with hemoptysis and ground glass parenchymal changes in the right upper lobe. Robotic surgical resection was completed, and final pathology was consistent with benign pancreatic tissue. The patient fully recovered with no recurrence of hemoptysis. Ectopic pancreas, although uncommon, should be included in the differential for solid and cystic anterior mediastinal masses; surgical resection is often curative and effectively manages symptoms.
前纵隔内的异位胰腺是一种罕见的先天性异常。我们报告一例实性前纵隔肿块病例，该患者表现为咯血及右上叶磨玻璃样实质改变。通过机器人手术完成了切除，最终病理结果与良性胰腺组织相符。患者完全康复，咯血未再复发。异位胰腺虽然不常见，但在实性和囊性前纵隔肿块的鉴别诊断中应予以考虑；手术切除通常可治愈并有效控制症状。
