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纵隔骨外部位尤因肉瘤:1例罕见病例报告并文献复习

Ewing's sarcoma of the mediastinal extraosseous site: a case report of a rare occurrence with literature review.

作者信息

Zhou Hong, Su Meng, Wang Han-Fang, Feng Si-Qi, Jiang Wen-Qian, Li Xiao-Rong

机构信息

Radiology Department, General Hospital of Southern Theater Command, People's Liberation Army (PLA), Guangzhou, China.

出版信息

Front Oncol. 2025 Jun 18;15:1578456. doi: 10.3389/fonc.2025.1578456. eCollection 2025.

Abstract

OBJECTIVE

To present a rare case of mediastinal extraosseous Ewing sarcoma(EES), broadening the body of knowledge already in existence on EES. This paper intends to give doctors more diagnostic and therapeutic understanding.

METHODS

The patient's imaging data was analyzed retrospectively. We identified and compiled the distinctive imaging characteristics of mediastinal EES by combining these results with histopathological evaluation and a review of relevant literature.

KEY FINDINGS

Typical imaging features of mediastinal EES include a large, bulky mass with irregular shape and lobulated, poorly defined margins. On computed tomography (CT), it often shows heterogeneous density along with infiltration of nearby organs and anatomical structures.

CONCLUSION

Mediastinal EES is a rare and clinically challenging diagnosis. However, recognition of its characteristic imaging features may facilitate radiological diagnosis. Nevertheless, histopathological confirmation remains the gold standard for definitive diagnosis.

摘要

目的

报告一例罕见的纵隔骨外尤文肉瘤(EES),以拓宽现有的关于EES的知识体系。本文旨在让医生对其有更多的诊断和治疗方面的认识。

方法

对患者的影像资料进行回顾性分析。我们将这些结果与组织病理学评估及相关文献回顾相结合,确定并汇总纵隔EES的独特影像特征。

主要发现

纵隔EES的典型影像特征包括一个大的、体积较大的肿块,形状不规则,边缘呈分叶状且界限不清。在计算机断层扫描(CT)上,它常表现为密度不均匀,并伴有对附近器官和解剖结构的浸润。

结论

纵隔EES是一种罕见且临床诊断具有挑战性的疾病。然而,认识其特征性影像特征可能有助于放射学诊断。尽管如此,组织病理学确诊仍然是明确诊断的金标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c806/12213476/0a5a705a0249/fonc-15-1578456-g001.jpg

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