Cohen A J, Sbaschnig R J, Hochholzer L, Lough F C, Albus R A
Ann Thorac Surg. 1987 Jun;43(6):656-9. doi: 10.1016/s0003-4975(10)60244-5.
Hemangiomas of the mediastinum are rare tumors. Fewer than 100 have been reported. This study reviews the cases of 15 patients with mediastinal hemangiomas confirmed pathologically. We analyzed and evaluated the presentation, evaluation, and treatment. Follow-up is available for 14 of the 15 patients and ranges from 15 months to 15 years. Eight of the 15 patients were seen with signs and symptoms related to the tumor. This presentation correlated with invasion of contiguous mediastinal structures by the tumor. Six patients underwent total excision and 6, subtotal excision. During follow-up, residual tumor did not spread, become symptomatic, or show evidence of malignant degeneration. Based on this analysis, we believe that in patients in whom total excision of this tumor can be accomplished only by hazardous resection, a subtotal resection should be performed.
纵隔血管瘤是罕见的肿瘤。报告的病例少于100例。本研究回顾了15例经病理证实的纵隔血管瘤患者的病例。我们分析并评估了其临床表现、评估方法及治疗情况。15例患者中有14例有随访记录，随访时间从15个月至15年不等。15例患者中有8例出现了与肿瘤相关的体征和症状。这种表现与肿瘤侵犯相邻纵隔结构有关。6例患者接受了根治性切除，6例接受了次全切除。在随访期间，残留肿瘤未扩散、未出现症状或显示恶变迹象。基于此分析，我们认为，对于那些只有通过危险的切除才能实现肿瘤根治性切除的患者，应进行次全切除。
