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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.

DOI:10.1007/s00104-022-01685-w
PMID:35876853
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。

相似文献

1
[Mediastinal tumors : Diagnosis and treatment of the most common tumor entities].[纵隔肿瘤:最常见肿瘤类型的诊断与治疗]
Chirurgie (Heidelb). 2023 Mar;94(3):277-288. doi: 10.1007/s00104-022-01685-w. Epub 2022 Jul 25.
2
Thymoma: Diagnosis and treatment.胸腺瘤:诊断与治疗
Acta Med Indones. 2011 Jan;43(1):74-8.
3
Middle mediastinal thymoma.中纵隔胸腺瘤。
Respirology. 2007 Nov;12(6):934-6. doi: 10.1111/j.1440-1843.2007.01165.x.
4
Noninvasive thymoma in the middle mediastinum.中纵隔非侵袭性胸腺瘤。
Ann Thorac Surg. 2004 Jun;77(6):2209-10. doi: 10.1016/S0003-4975(03)01392-4.
5
[Imaging of mediastinal tumors].[纵隔肿瘤的影像学检查]
Rev Pneumol Clin. 2010 Feb;66(1):17-27. doi: 10.1016/j.pneumo.2009.12.011. Epub 2010 Feb 18.
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Transcervical approach to the thymus and to mediastinal tumors.
Am J Surg. 1972 Apr;123(4):393-7. doi: 10.1016/0002-9610(72)90189-4.
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[Mediastinal space-occupying lesion of uncertain histology: difficulties of differential diagnosis].
Dtsch Med Wochenschr. 2000 Oct 13;125(41):1227-31. doi: 10.1055/s-2000-7724.
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[Mediastinal tumors: introduction].[纵隔肿瘤:引言]
Rev Pneumol Clin. 2010 Feb;66(1):3-16. doi: 10.1016/j.pneumo.2009.12.008. Epub 2010 Feb 19.
9
Giant thymoma in the anterior-inferior mediastinum.前下纵隔巨大胸腺瘤。
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10
Two malignant tumours in the anterior mediastinum positive for CD5.前纵隔有两个CD5阳性的恶性肿瘤。
BMJ Case Rep. 2010 Jul 8;2010:bcr0920092289. doi: 10.1136/bcr.09.2009.2289.

本文引用的文献

1
The 2021 WHO Classification of Tumors of the Thymus and Mediastinum: What Is New in Thymic Epithelial, Germ Cell, and Mesenchymal Tumors?2021 年世界卫生组织胸腺和纵隔肿瘤分类:胸腺上皮性、生殖细胞性和间叶性肿瘤有哪些新变化?
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2
Mediastinal tumours and pseudo-tumours: a comprehensive review with emphasis on multidisciplinary approach.纵隔肿瘤和假性肿瘤:全面综述,重点介绍多学科方法。
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Mediastinal Germ Cell Tumors: A Review and Update on Pathologic, Clinical, and Molecular Features.
纵隔生殖细胞肿瘤:病理、临床和分子特征的综述与更新。
Adv Anat Pathol. 2021 Sep 1;28(5):335-350. doi: 10.1097/PAP.0000000000000304.
4
Thymic rebound hyperplasia post-chemotherapy mistaken as disease progression in a patient with lymphoma involving mediastinum: a case report and reflection.化疗后胸腺反应性增生被误诊为纵隔受累淋巴瘤患者的疾病进展:病例报告及反思。
BMC Surg. 2021 Jan 14;21(1):38. doi: 10.1186/s12893-021-01048-y.
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[Extended Resection of Locally Advanced Thymic Tumours in Stage III].
Zentralbl Chir. 2021 Feb;146(1):119-125. doi: 10.1055/a-1192-6961. Epub 2020 Jul 23.
6
Surgical Cytoreduction and HITOC for Thymic Malignancies with Pleural Dissemination.胸腔播散性胸腺癌的外科细胞减灭术和 HITOC
Thorac Cardiovasc Surg. 2021 Mar;69(2):157-164. doi: 10.1055/s-0039-1700883. Epub 2019 Nov 15.
7
Diagnostic outcome and safety of CT-guided core needle biopsy for mediastinal masses: a systematic review and meta-analysis.CT 引导下经皮肺穿刺活检对纵隔肿块的诊断结果和安全性:系统评价和荟萃分析。
Eur Radiol. 2020 Jan;30(1):588-599. doi: 10.1007/s00330-019-06377-4. Epub 2019 Aug 15.
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Acute Dysphagia Caused by Sarcomatoid Squamous Cell Carcinoma of the Esophagus.食管肉瘤样鳞状细胞癌引起的急性吞咽困难
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Ectopic Anterior Mediastinal Pathology in the Chest: Radiologic-pathologic Correlation of Unexpected Encounters with the "Terrible Ts".胸部异位前纵隔病变:与“可怕的Ts”意外发现的放射学-病理学相关性
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