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纵隔髓外造血:影像学、病理学和胸腔镜活检相关性的病例报告。

A case report of mediastinal extramedullary hematopoiesis: imaging, pathological and thoracoscopic biopsy correlation.

机构信息

Department of Thoracic Surgery, Yan'an Hospital, Kunming Medical University, Kunming, 650051, China.

出版信息

J Cardiothorac Surg. 2024 Oct 21;19(1):609. doi: 10.1186/s13019-024-03117-8.

Abstract

OBJECTIVE

To summarize the clinical features, imaging characteristics, and surgical diagnosis and treatment experience of mediastinal extramedullary hematopoiesis.

METHODS

By summarizing and analyzing the case data and reviewing the literature, one case of posterior mediastinal extramedullary hematopoiesis on thoracoscopic biopsy in our department was summarized.

CONCLUSION

Posterior mediastinal extramedullary hematopoiesis is a response to failure of bone marrow erythropoiesis, which is relatively rare clinically, and diagnosis requires a combination of patient history and imaging, puncture biopsy or thoracoscopic excisional biopsy can provide a pathological diagnosis, and surgical complete resection is the main treatment modality.

摘要

目的

总结纵隔髓外造血的临床特征、影像学特点及手术诊治经验。

方法

通过总结分析我科 1 例经胸腹腔镜活检的后纵隔髓外造血病例资料,并复习相关文献。

结论

后纵隔髓外造血是骨髓红系造血失败的一种反应,临床上相对少见,诊断需要结合患者病史和影像学,穿刺活检或胸腹腔镜下切除活检可提供病理诊断,手术完整切除是主要的治疗方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dce/11492718/94c9a6ab9a4d/13019_2024_3117_Fig1_HTML.jpg

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