Otake Sotaro, Fukutomi Toshinori, Oyama Takahiko
Department of Thoracic Surgery, Tokyo Medical Center, Tokyo, Japan.
Kyobu Geka. 2024 May;77(5):384-387.
A man in his 50s who presented an abnormal shadow on chest X-ray was diagnosed with posterior mediastinal tumor that had grown compared to the previous chest X-ray. Computed tomography showed a 5.7×3.9 cm solid mass with a smooth surface in the posterior mediastinum. A neurogenic tumor was suspected, and the mediastinal tumor was resected through thoracotomy because it was strongly adherent. The postoperative course was good, and he was discharged from the hospital on postoperative day 3. Contrary to preoperative expectations, the tumor was pathologically diagnosed as a desmoid tumor. After 6 months postoperatively without any complications, no recurrence was observed.
一名50多岁的男性，胸部X光检查显示有异常阴影，被诊断为后纵隔肿瘤，与之前的胸部X光相比有所增大。计算机断层扫描显示后纵隔有一个5.7×3.9厘米的实性肿块，表面光滑。怀疑是神经源性肿瘤，由于肿瘤粘连严重，通过开胸手术切除纵隔肿瘤。术后恢复良好，术后第3天出院。与术前预期相反，肿瘤经病理诊断为硬纤维瘤。术后6个月无任何并发症，未观察到复发。
