Shin M S, Branscomb B V, Ho K J
J Comput Tomogr. 1985 Oct;9(4):321-7. doi: 10.1016/0149-936x(85)90027-x.
Two young patients with similar radiographic manifestations of massive opacification of left hemithorax with scattered calcification highly suggestive of mediastinal teratocarcinoma are reported. By biopsy, one patient was proved to have teratocarcinoma and the other patient was proved to have Hodgkin's disease. Retrospective review indicates that spontaneous neoplastic calcification in Hodgkin's disease, though rare, can occur prior to therapy. Computed tomography is useful in distinguishing such cases of Hodgkin's disease from teratocarcinoma by demonstrating the involvement of the posterior mediastinum and homogeneous density.
报告了两名年轻患者，其胸部X线表现相似，左半胸大量致密影伴散在钙化，高度提示纵隔畸胎癌。经活检，一名患者被证实患有畸胎癌，另一名患者被证实患有霍奇金病。回顾性分析表明，霍奇金病中的自发性肿瘤钙化虽然罕见，但可在治疗前出现。计算机断层扫描通过显示后纵隔受累及均匀密度，有助于将此类霍奇金病病例与畸胎癌区分开来。
