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幼儿巨大成熟纵隔畸胎瘤的罕见表现：一例报告

Unusual presentation of giant mature mediastinal teratoma in a young child: A case report.

作者信息

Andaloussi Saad, Dalero Omar, Hassani Zakarya Alami, El Madi Aziz

机构信息

Department of Pediatric Surgery, University Hospital Mohamed VI, Tangier, Morocco.

Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essaâdi University, Tangier, Morocco.

出版信息

Radiol Case Rep. 2024 Aug 2;19(10):4469-4473. doi: 10.1016/j.radcr.2024.07.015. eCollection 2024 Oct.

DOI:10.1016/j.radcr.2024.07.015
PMID:39165318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11334783/
Abstract

Mature mediastinal teratoma is a rare benign tumor in children. Few cases have been reported in the literature. Moreover, this tumor is often characterized by slow growth, reaching a large volume and frequently causing nonspecific symptoms, making its diagnosis more difficult. It raises the question of differential diagnosis with malignant mediastinal tumors in pediatric patients, requiring histological confirmation by biopsy or excision. The purpose of this article is to report an atypical clinical finding characterized by spinal deformity, and to contribute to medical knowledge concerning this uncommon pediatric tumor.

摘要

成熟纵隔畸胎瘤是儿童罕见的良性肿瘤。文献中报道的病例很少。此外，这种肿瘤通常生长缓慢，体积较大，常引起非特异性症状，使其诊断更加困难。这就提出了小儿患者纵隔恶性肿瘤鉴别诊断的问题，需要通过活检或切除进行组织学确诊。本文的目的是报告一例以脊柱畸形为特征的非典型临床发现，并为有关这种罕见小儿肿瘤的医学知识做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4f/11334783/9eb624f54b53/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4f/11334783/37f863e93688/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4f/11334783/7e7d88918c03/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4f/11334783/ba9dda37b616/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4f/11334783/a53e70461089/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4f/11334783/9eb624f54b53/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4f/11334783/37f863e93688/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4f/11334783/7e7d88918c03/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4f/11334783/ba9dda37b616/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4f/11334783/a53e70461089/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c4f/11334783/9eb624f54b53/gr5.jpg

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本文引用的文献

1
A huge mediastinal teratoma in a 14-year-old girl.一名14岁女孩患有巨大纵隔畸胎瘤。
Int J Surg Case Rep. 2023 Dec;113:109003. doi: 10.1016/j.ijscr.2023.109003. Epub 2023 Oct 29.
2
Posterior mediastinal teratoma presenting as an abdominal mass in a child: A case report.儿童后纵隔畸胎瘤表现为腹部肿块：一例报告
Radiol Case Rep. 2022 Aug 8;17(10):3825-3829. doi: 10.1016/j.radcr.2022.07.067. eCollection 2022 Oct.
3
Giant mature teratoma in thymic tissue removed with uniportal vats approach.采用单孔胸腔镜辅助小切口手术方法切除胸腺组织中的巨大成熟畸胎瘤。
Int J Surg Case Rep. 2020;66:143-145. doi: 10.1016/j.ijscr.2019.11.031. Epub 2019 Nov 27.
4
Mediastinal teratoma presenting with hemoptysis and pleuritis misdiagnosed as tuberculosis (empyema).纵隔畸胎瘤表现为咯血和胸膜炎，误诊为肺结核（脓胸）。
BMC Pediatr. 2018 Dec 4;18(1):382. doi: 10.1186/s12887-018-1357-7.
5
Immature teratoma of the mediastinum arising in ectopic thyroid tissue: a case report.起源于异位甲状腺组织的纵隔未成熟畸胎瘤：一例报告
Anal Quant Cytol Histol. 2009 Aug;31(4):233-8.
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Mature mediastinal teratoma: sonographic imaging patterns and pathologic correlation.成熟纵隔畸胎瘤：超声成像模式与病理相关性
J Ultrasound Med. 2002 Jul;21(7):759-65. doi: 10.7863/jum.2002.21.7.759.
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Mediastinal mature teratoma: imaging features.纵隔成熟畸胎瘤：影像学特征
AJR Am J Roentgenol. 1997 Oct;169(4):985-90. doi: 10.2214/ajr.169.4.9308448.