Lee Sangjun, Na Kwon Joong, Park Samina, Lim Sojung, Jeon Yoon Kyung, Lee Hyun Joo, Park In Kyu, Kang Chang Hyun, Kim Young Tae
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Cancer Research Institute, Seoul National University College of Medicine, Seoul, Republic of Korea.
Ann Thorac Surg Short Rep. 2023 Mar 4;1(2):266-269. doi: 10.1016/j.atssr.2023.02.017. eCollection 2023 Jun.
Thymic malignant neoplasms mostly occur in the anterior mediastinum. Less than 5% occur in the middle or posterior mediastinum. This report describes a large subcarinal mass incidentally discovered during follow-up magnetic resonance imaging for prostate cancer operation. After multidisciplinary discussion, chemotherapy was deemed ineffective, and complete tumor resection through right posterolateral thoracotomy was performed. The operation was uneventful, and the patient recovered smoothly. Immunohistochemistry and pathologic examination revealed thymic adenocarcinoma. Although very rare, thymic adenocarcinomas should be considered in the differential diagnosis of middle mediastinal masses.
胸腺恶性肿瘤大多发生在前纵隔。不到5%发生在中纵隔或后纵隔。本报告描述了一例在前列腺癌手术后的随访磁共振成像中偶然发现的隆突下大肿块。经过多学科讨论，认为化疗无效，遂通过右后外侧开胸进行了肿瘤完整切除。手术过程顺利，患者恢复良好。免疫组织化学和病理检查显示为胸腺腺癌。尽管非常罕见，但在中纵隔肿块的鉴别诊断中应考虑胸腺腺癌。
