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心包炎与前纵隔胆固醇肉芽肿的发生有关。

Pericarditis Linked to the Development of an Anterior Mediastinal Cholesterol Granuloma.

作者信息

Toubat Omar, Shemanski Kimberly A, Wallace W Dean, Kim Anthony W

机构信息

Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

Department of Surgery, University of Virginia, Charlottesville, Virginia.

出版信息

Ann Thorac Surg Short Rep. 2023 Jan 25;1(2):263-265. doi: 10.1016/j.atssr.2023.01.003. eCollection 2023 Jun.

DOI:10.1016/j.atssr.2023.01.003
PMID:39790322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708162/
Abstract

Cholesterol granulomas are benign, foreign body giant cell reactions that occur in response to the presence of cholesterol crystals. Cholesterol granulomas are an exceedingly rare entity in the mediastinum and are often found incidentally without a known cause. In this case report, we describe a cholesterol granuloma developing in the anterior mediastinum secondary to a prolonged episode of pericarditis. In addition to providing unique insights into the etiology of cholesterol granulomas of the anterior mediastinum, this report also demonstrates the feasibility of robotic surgical approaches for the management of these lesions.

摘要

胆固醇肉芽肿是一种良性的异物巨细胞反应,由胆固醇结晶的存在引发。胆固醇肉芽肿在纵隔中极为罕见,通常是在无已知病因的情况下偶然发现。在本病例报告中,我们描述了一例继发于长期心包炎的前纵隔胆固醇肉芽肿。除了为前纵隔胆固醇肉芽肿的病因提供独特见解外,本报告还展示了机器人手术方法用于处理这些病变的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f261/11708162/5c80fc856fb7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f261/11708162/361ede0b4581/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f261/11708162/5c80fc856fb7/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f261/11708162/361ede0b4581/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f261/11708162/5c80fc856fb7/gr2.jpg

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本文引用的文献

1
Cholesterol granuloma mimicking an anterior mediastinal tumor - a case report.胆固醇肉芽肿酷似前纵隔肿瘤——一例报告
Acta Chir Belg. 2022 Aug;122(4):260-261. doi: 10.1080/00015458.2020.1816672. Epub 2020 Sep 9.
2
Multifocal thymic cysts with cholesterol granuloma.伴有胆固醇肉芽肿的多灶性胸腺囊肿
Respirol Case Rep. 2018 Aug 31;6(7):e00361. doi: 10.1002/rcr2.361. eCollection 2018 Oct.
3
Cholesterol granuloma of the anterior mediastinum.前纵隔胆固醇肉芽肿
Thorax. 2017 Jul;72(7):671-672. doi: 10.1136/thoraxjnl-2016-209481. Epub 2016 Oct 31.
4
Primary thymic cholesteroloma: a clinicopathological correlation of four cases of an unusual benign lesion.原发性胸腺胆固醇瘤:4例罕见良性病变的临床病理相关性
Virchows Arch. 2015 Nov;467(5):609-11. doi: 10.1007/s00428-015-1822-8. Epub 2015 Aug 13.
5
Cholesterol granuloma of the anterior mediastinum with osseous metaplasia.
Rare Tumors. 2012 Oct 10;4(4):e47. doi: 10.4081/rt.2012.e47. Epub 2012 Nov 13.
6
A rare case of cholesterol granuloma in the anterior mediastinum.前纵隔胆固醇肉芽肿一例罕见。
Heart Lung Circ. 2013 Apr;22(4):303-4. doi: 10.1016/j.hlc.2012.07.009. Epub 2012 Aug 18.
7
Focal cholesterol granuloma in the anterior mediastinum: [18F]-fluoro-2-deoxy-D-glucose-positron emission tomography and magnetic resonance imaging findings.前纵隔局灶性胆固醇肉芽肿:[18F] -氟-2-脱氧-D-葡萄糖正电子发射断层扫描及磁共振成像表现
J Thorac Oncol. 2007 Nov;2(11):1054-6. doi: 10.1097/JTO.0b013e318158eee8.
8
Cholesterol granuloma of the superior mediastinum.上纵隔胆固醇肉芽肿
Ann Thorac Surg. 2006 Apr;81(4):1509-10. doi: 10.1016/j.athoracsur.2005.03.019.