Division of Thoracic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Interact Cardiovasc Thorac Surg. 2022 Jul 9;35(2). doi: 10.1093/icvts/ivac192.
Thymic neuroendocrine tumours are rare anterior mediastinal neoplasms often associated with paraneoplastic syndromes. A patient presented with intractable hyponatraemia and a DOTATATE-avid mediastinal mass. Following medical optimization, she underwent thoracoscopic thymectomy with en bloc thymic small-cell carcinoma resection. Her symptoms resolved and her sodium levels normalized. In localized disease, curative-intent, minimally invasive thymic neuroendocrine tumour resection is safe and effective following preoperative staging and paraneoplastic syndrome management.
胸腺神经内分泌肿瘤是一种罕见的前纵隔肿瘤，常与副肿瘤综合征相关。一名患者表现为难治性低钠血症和 DOTATATE 摄取的纵隔肿块。经医学优化后，她接受了胸腔镜胸腺切除术和整块胸腺癌切除术。她的症状得到缓解，血钠水平恢复正常。对于局限性疾病，在术前分期和副肿瘤综合征管理后，采用有治愈意图的微创胸腺神经内分泌肿瘤切除术是安全有效的。
