Miglets A W, Adam J S
Arch Otolaryngol. 1982 Feb;108(2):112-3. doi: 10.1001/archotol.1982.00790500048011.
A 60-year-old man had left vocal cord paralysis and a superior mediastinal mass. Rather than the expected mediastinal tumor involving the recurrent laryngeal nerve, he was found to have tortuosity of the great vessels of the neck that caused the mediastinal widening. In all likelihood, this was unrelated to the vocal cord paralysis. The diagnosis was suspected and invasive studies avoided due to close scrutiny of the lateral chest roentgenogram.
一名60岁男性出现左侧声带麻痹和上纵隔肿块。结果发现,并非预期的累及喉返神经的纵隔肿瘤,而是颈部大血管迂曲导致纵隔增宽。很可能,这与声带麻痹无关。由于对胸部侧位X线片进行了仔细检查,怀疑了诊断并避免了侵入性检查。