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偶然发现一个附着于心包的异位B2型胸腺瘤。

Incidental finding of an ectopic b2 thymoma attached to the pericardium.

作者信息

Endara Santiago A, Davalos Gerardo A, Ponton M Patricia, Gordon Christian I, Molina Gabriel A

机构信息

Department of Surgery, Division of Cardiothoracic Surgery, Hospital Metropolitano, Quito, Ecuador.

Department of Pathology, Hospital Metropolitano, Quito, Ecuador.

出版信息

J Surg Case Rep. 2024 Mar 6;2024(3):rjae107. doi: 10.1093/jscr/rjae107. eCollection 2024 Mar.

DOI:10.1093/jscr/rjae107
PMID:38455986
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10918443/
Abstract

Ectopic thymoma is a rare tumor that arises from the abnormal migration of thymus tissue. They are extremely rare and have a broad spectrum of clinical symptoms. Therefore, preoperative diagnosis is complex and can be easily misdiagnosed. Complete resection is the treatment of choice to avoid recurrence, radiotherapy and enhanced survival. Regretfully, many patients arrive at a late stage, limiting our therapeutic options; therefore, pre-operative diagnosis is vital. We present the case of an otherwise healthy 32-year-old woman; after a chest X-ray was done for a routine medical evaluation, a mass was discovered in her mediastinum. After surgery, a B2 thymoma attached to the pericardium was discovered and successfully treated.

摘要

异位胸腺瘤是一种罕见的肿瘤,由胸腺组织异常迁移引起。它们极为罕见,临床症状广泛。因此,术前诊断复杂,容易误诊。完整切除是避免复发、放疗和提高生存率的首选治疗方法。遗憾的是,许多患者就诊时已处于晚期,限制了我们的治疗选择;因此,术前诊断至关重要。我们报告一例32岁健康女性的病例;在进行常规医学评估的胸部X光检查后,发现她的纵隔有一个肿块。手术后,发现一个附着于心包的B2型胸腺瘤并成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b8/10918443/bdc9b1cba446/rjae107f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b8/10918443/fb8e151b2624/rjae107f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b8/10918443/19a02281a3c9/rjae107f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b8/10918443/bdc9b1cba446/rjae107f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b8/10918443/fb8e151b2624/rjae107f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b8/10918443/19a02281a3c9/rjae107f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b8/10918443/bdc9b1cba446/rjae107f3.jpg

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本文引用的文献

1
Thymic Epithelial Cells Contribute to Thymopoiesis and T Cell Development.胸腺上皮细胞有助于胸腺生成和 T 细胞发育。
Front Immunol. 2020 Jan 31;10:3099. doi: 10.3389/fimmu.2019.03099. eCollection 2019.
2
Ectopic thymoma: report of 2 cases and review of the literature.异位胸腺瘤:2例报告并文献复习
Int J Clin Exp Pathol. 2019 Dec 1;12(12):4297-4302. eCollection 2019.
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Thymoma. A Systemic Disease?胸腺瘤。一种全身性疾病?
Arch Bronconeumol (Engl Ed). 2019 May;55(5):235-236. doi: 10.1016/j.arbres.2018.03.014. Epub 2018 May 22.
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Atypical Location of a Thymoma.胸腺瘤的非典型位置
Arch Bronconeumol. 2017 Apr;53(4):209. doi: 10.1016/j.arbres.2016.07.007. Epub 2016 Aug 22.
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Pericardial ectopic thymoma presenting with cardiac tamponade: report of a case.心包异位胸腺瘤伴心脏压塞一例报告
Surg Today. 2015 Sep;45(9):1200-4. doi: 10.1007/s00595-014-1000-7. Epub 2014 Jul 29.
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Prognostic factors for cure, recurrence and long-term survival after surgical resection of thymoma.胸腺瘤手术后的治愈、复发和长期生存的预后因素。
J Thorac Oncol. 2014 Jul;9(7):1018-1022. doi: 10.1097/JTO.0000000000000215.
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Thymoma versus thymic carcinoma: differences in biology impacting treatment.胸腺瘤与胸腺癌:生物学差异影响治疗。
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