Gurrieri V, Donaggio P, Frattina A
Chir Ital. 1985 Oct;37(5):539-50.
The writers point out a case of malignant teratoma of retro-peritoneal origin and lateral-cervical metastasis. Preliminary tests had shown a mass of a big orange, size of cystic appearance on the scan, clearly defined by TAC, as an oval shape, of cystic appearance, with semiliquid contents, strictly connected with the left-hand side of the thyroid gland and the big vessels of the neck and the fossa over the collar bone plane which pressed on the trachea and put it out of its original position. The needle suction cytologic test, had diagnosed a carcinoma slightly differentiated. After the difficult surgical dissection because of the proximity of the mass to the thyroid gland the trachea and the large vessels, and especially because of the sizable dislocation in mediastinum up to the level of the pleural cupola, the mass was diagnosed after surgery and histological tests as a branchial carcinoma. After a short while, the onset of an abdominal mass, followed soon after by the patient's death, allowed us to look at the case again and to conclude that it was an extra-peritoneal malignant teratoma with a lateral-cervical metastasis.
作者指出一例腹膜后起源并伴有颈侧转移的恶性畸胎瘤病例。初步检查显示，扫描时发现一个大橙子大小的肿块，呈囊性外观，经TAC清晰显示为椭圆形，呈囊性外观，内含半液体物质，与甲状腺左侧、颈部大血管以及锁骨平面上方的窝紧密相连，该窝压迫气管并使其偏离原来位置。针吸细胞学检查诊断为低分化癌。由于肿块与甲状腺、气管和大血管距离很近，手术解剖困难，尤其是因为肿块在纵隔内向上移位至胸膜顶水平，手术后经组织学检查，该肿块被诊断为鳃裂癌。不久后，出现腹部肿块，随后患者死亡，这使我们重新审视该病例并得出结论，这是一例伴有颈侧转移的腹膜外恶性畸胎瘤。
