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累及前纵隔和后纵隔的纵隔脂肪肉瘤：一例胸部肿瘤血管病例报告

Mediastinal Liposarcoma With Anterior and Posterior Mediastinal Involvement: A Thoracic Oncovascular Case Report.

作者信息

Keita Papus, Tran Anthony, Cheema Mohiuddin, Peterman Nicholas J, Katigbak Mario

机构信息

Surgery, Carle Foundation Hospital, Urbana, USA.

Thoracic Surgery, Baylor Scott and White Health Hospital, Dallas, USA.

出版信息

Cureus. 2022 Jul 2;14(7):e26513. doi: 10.7759/cureus.26513. eCollection 2022 Jul.

DOI:10.7759/cureus.26513
PMID:35923489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9339385/
Abstract

A 64-year-old patient presented with shortness of breath and chest pressure. The initial examination was unremarkable, and a chest X-ray revealed a large mediastinal mass. Computed tomography (CT) scan demonstrated a lobulated mediastinal mass involving the great vessels and mass effect on the trachea, esophagus, and heart. A CT-guided biopsy showed a monotonous, evenly spaced population of mature, normal-appearing adipocytes consistent with a well-differentiated lipoma-like liposarcoma/atypical lipomatous tumor. The patient underwent a median sternotomy with tumor resection without adjuvant chemoradiation. Three-year follow-up CT imaging shows no evidence of tumor recurrence.

摘要

一名64岁患者出现呼吸急促和胸部压迫感。初步检查无异常，胸部X光显示纵隔有一个大肿块。计算机断层扫描（CT）显示纵隔有一个分叶状肿块，累及大血管，对气管、食管和心脏有占位效应。CT引导下活检显示为一群成熟、外观正常的脂肪细胞，排列单调且间距均匀，符合高分化脂肪瘤样脂肪肉瘤/非典型脂肪瘤性肿瘤。患者接受了正中胸骨切开术并进行肿瘤切除，未进行辅助放化疗。三年随访CT成像显示无肿瘤复发迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f94/9339385/4fd71685fc02/cureus-0014-00000026513-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f94/9339385/a7461d6a7fa7/cureus-0014-00000026513-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f94/9339385/89c1770d1a3e/cureus-0014-00000026513-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f94/9339385/4fd71685fc02/cureus-0014-00000026513-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f94/9339385/a7461d6a7fa7/cureus-0014-00000026513-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f94/9339385/89c1770d1a3e/cureus-0014-00000026513-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f94/9339385/4fd71685fc02/cureus-0014-00000026513-i03.jpg

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本文引用的文献

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Medicine (Baltimore). 2018 Oct;97(42):e12873. doi: 10.1097/MD.0000000000012873.
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Recurrent primary mediastinal liposarcoma: A case report.复发性原发性纵隔脂肪肉瘤：一例报告。
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纵隔脂肪肉瘤：病例报告及影像学回顾
Radiol Case Rep. 2024 May 18;19(8):3294-3300. doi: 10.1016/j.radcr.2024.04.054. eCollection 2024 Aug.
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