Guillemin F, Schmitt M, Gautry P, Prévot J
Chir Pediatr. 1979;20(6):413-6.
When there is a posterior mediastinal mass on a chest X-RAY, a neurogenic tumor is usually evocated. However the occurrence of several other tumors is possible and they should be looked for preoperatively. The literature on the subject is very scarce. We report three cases of uncommon posterior mediastinal tumor. A bronchogenic cyst located between the trachea and the esophagus is described in a two months old girl. The diagnosis is made by tracheoscopy and esophagal contrast study. The anatomic situation explains why even a small tumor induces severe respiratory troubles and requires urgent treatment. An esophageal cyst is described in a 13 year old boy--the mediastinal mass is found incidentally on a routine chest X-RAY because of the risk of complications, the resection of this cyst is required and usually easy when they are intramural. A mediastinal pheochromocytoma is described in a five years old girl. The tumor is discovered during the investigation of a hypertensive syndrome. This location is very uncommon and may be unique or associated with more usual locations. The resection is delicate because of the situation of the tumor in the upper mediastinum. The preoperative angiogram is very helpful in deciding the operative approach.
当胸部X线片显示后纵隔肿块时,通常会想到神经源性肿瘤。然而,也可能出现其他几种肿瘤,术前应予以排查。关于这一主题的文献非常稀少。我们报告三例不常见的后纵隔肿瘤病例。一名两个月大的女孩患有位于气管和食管之间的支气管囊肿。通过气管镜检查和食管造影研究做出诊断。解剖位置解释了为什么即使是小肿瘤也会引发严重的呼吸问题并需要紧急治疗。一名13岁男孩患有食管囊肿——因存在并发症风险,该纵隔肿块在常规胸部X线片检查时偶然发现,需要切除此囊肿,当囊肿位于壁内时通常手术较为容易。一名五岁女孩患有纵隔嗜铬细胞瘤。该肿瘤在高血压综合征检查期间被发现。这个部位非常罕见,可能是孤立的,也可能与更常见的部位相关。由于肿瘤位于上纵隔,手术切除很棘手。术前血管造影对决定手术方式非常有帮助。