Livesay J J, Mink J H, Fee H J, Bein M E, Sample W F, Mulder D G
Ann Thorac Surg. 1979 Apr;27(4):305-11. doi: 10.1016/s0003-4975(10)63304-8.
Thirty patients with suspected mediastinal tumors were evaluated by computed tomography (CT) at UCLA Medical Center. Twenty patients with myasthenia gravis were examined for possible thymomas, benign and malignant; and 10 patients were studied for other mediastinal masses (including teratoma, seminoma, mediastinal lipomatosis, carcinoma, lymphoma, and paravertebral abscess). The CT scan was found useful in several respects: (1) yielding information not available by conventional radiographic techniques; (2) defining the anatomical location and extent of mediastinal tumors; (3) detecting pulmonary metastasis and involvement of mediastinal nodes in cases of malignancy; and (4) establishing the diagnosis of benign mediastinal fatty masses. On the basis of our early experience, we believe CT is a valuable adjunct in the preoperative assessment of patients with suspected mediastinal tumors.
加州大学洛杉矶分校医学中心对30例疑似纵隔肿瘤患者进行了计算机断层扫描(CT)评估。对20例重症肌无力患者进行检查,以排查是否存在良性及恶性胸腺瘤;对10例患者进行其他纵隔肿物(包括畸胎瘤、精原细胞瘤、纵隔脂肪过多症、癌、淋巴瘤和椎旁脓肿)的研究。发现CT扫描在几个方面很有用:(1)提供传统放射学技术无法获得的信息;(2)明确纵隔肿瘤的解剖位置和范围;(3)在恶性肿瘤病例中检测肺转移和纵隔淋巴结受累情况;(4)确立良性纵隔脂肪性肿物的诊断。根据我们早期的经验,我们认为CT在疑似纵隔肿瘤患者的术前评估中是一种有价值的辅助手段。