Policarpo Filipa, Antunes Mariana, Alvoeiro Magda, Alvoeiro Francisco
General Surgery, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal.
Thoracic Surgery, Centro Hospitalar Lisboa Norte, Lisboa, Portugal.
J Surg Case Rep. 2023 Mar 4;2023(3):rjad084. doi: 10.1093/jscr/rjad084. eCollection 2023 Mar.
A 49-year-old female patient, without previous medical history, underwent a thoracic CT due to SARS-CoV2 infection. This exam revealed a heterogeneous mass in the anterior mediastinum with 11 × 8.8 cm in close contact with main thoracic vessels and pericardium. Surgical biopsy documented a B2 thymoma. This clinical case reminds the importance of a systematic and global look of the imaging scans. Years before the thymoma diagnosis, the patient underwent a shoulder X-ray due to musculoskeletal pain, where an irregular shape of the aortic arch was visible, probably related to the growing mediastinal mass. An earlier diagnosis would allow a complete mass resection without such extensive surgery and less morbidity.
一名49岁女性患者，既往无病史，因感染新型冠状病毒接受胸部CT检查。该检查显示前纵隔有一大小为11×8.8厘米的不均匀肿块，与胸主动脉和心包紧密相连。手术活检证实为B2型胸腺瘤。该临床病例提醒我们对影像扫描进行系统全面观察的重要性。在胸腺瘤诊断前数年，患者因肌肉骨骼疼痛接受肩部X线检查，可见主动脉弓形状不规则，可能与纵隔肿块生长有关。早期诊断可避免如此广泛的手术，实现完整肿块切除，且降低发病率。
