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[纵隔肿瘤:最常见肿瘤类型的诊断与治疗]

[Mediastinal tumors : Diagnosis and treatment of the most common tumor entities].

作者信息

Markowiak Till, Hofmann Hans-Stefan, Ried Michael

机构信息

Abteilung für Thoraxchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.

Klinik für Thoraxchirurgie, Krankenhaus Barmherzige Brüder Regensburg, Regensburg, Deutschland.

出版信息

Chirurgie (Heidelb). 2023 Mar;94(3):277-288. doi: 10.1007/s00104-022-01685-w. Epub 2022 Jul 25.

Abstract

The mediastinum is defined as the space formed ventrally by the sternum, dorsally by the spine, and laterally by the mediastinal pleura. A mediastinal mass is frequently an incidental finding. The wide spectrum of underlying diseases and the anatomic proximity to central structures makes diagnosis and treatment challenging. In many cases, the combination of anamnesis, physical examination, imaging and laboratory tests already provides valuable information about the tumor entity. In addition to diagnostic procedures for histological examination of an unclear mediastinal tumor, radical resection is very important for the prognosis of the patients, especially in the case of tumors of the thymus. Multimodal treatment of advanced tumors that involve adjacent structures is best performed in designated centers.

摘要

纵隔被定义为前方由胸骨、后方由脊柱以及两侧由纵隔胸膜所形成的空间。纵隔肿物常常是偶然发现的。潜在疾病种类繁多且与中央结构在解剖位置上相近,这使得诊断和治疗具有挑战性。在许多情况下,病史、体格检查、影像学检查和实验室检查相结合已经能够提供有关肿瘤实体的有价值信息。除了针对不明纵隔肿瘤进行组织学检查的诊断程序外,根治性切除对于患者的预后非常重要,尤其是对于胸腺肿瘤而言。涉及相邻结构的晚期肿瘤的多模式治疗最好在指定的中心进行。

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