采用类固醇和放疗成功治疗B2型胸腺瘤。

Successful treatment of type B2 thymoma with steroid and radiotherapy.

作者信息

Fujiwara Miho, Watanabe Hiromi, Takigawa Yuki, Goda Mayu, Shiraha Keisuke, Inoue Tomoyoshi, Matsuoka Suzuka, Kudo Kenichiro, Sato Akiko, Sato Ken, Fujiwara Keiichi, Shibayama Takuo

机构信息

Department of Respiratory Medicine NHO Okayama Medical Center Okayama Japan.

出版信息

Respirol Case Rep. 2024 Aug 13;12(8):e70006. doi: 10.1002/rcr2.70006. eCollection 2024 Aug.

DOI:10.1002/rcr2.70006

PMID:39139612

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11319843/

Abstract

An 86-year-old woman with leg edema and dyspnea on exertion was admitted to our hospital. Chest computed tomography (CT) revealed a mass in the anterior mediastinum with pericardial invasion. Histological examination with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) led to the diagnosis of Masaoka stage IVa type B2 thymoma. For palliation, radiotherapy (32 Gy/16 fractions) and prednisolone (30 mg/day) were administered and tapered. After treatment, both the pericardial effusion and tumour size decreased. Combination therapy with steroids and radiotherapy may be effective for treating thymomas.

摘要

一名86岁女性因腿部水肿和劳力性呼吸困难入住我院。胸部计算机断层扫描（CT）显示前纵隔有一肿块，伴有心包侵犯。经支气管内超声引导下经支气管针吸活检（EBUS-TBNA）组织学检查确诊为Masaoka IVa期B2型胸腺瘤。为缓解症状，给予放疗（32 Gy/16次分割）和泼尼松龙（30 mg/天）并逐渐减量。治疗后，心包积液和肿瘤大小均减小。类固醇与放疗联合治疗可能对胸腺瘤有效。