Paemelaère J M, Desveaux B, Maillard L, Pigale C, Hudelo C, Moini C, Quilliet L, Raynaud P
Service de Cardiologie A, Hôpital Trousseau, Tours.
Ann Cardiol Angeiol (Paris). 1995 Feb;44(2):82-5.
The authors report a case of anterior mediastinal cyst discovered incidentally in a 71-year-old man presenting with prolonged chest pain and a history of chronic renal failure secondary to polycystic kidney disease. The diagnosis of these cysts, which are benign congenital tumours usually asymptomatic and with a favourable course, was established by thoracic CT. In difficult cases, magnetic resonance imaging allows precise analysis of pericardial masses. Clinicians should think of this possibility in the presence of an opacity of the cardiophrenic angle associated with chest pain.
作者报告了一例71岁男性偶然发现的前纵隔囊肿病例，该患者有长期胸痛症状，并有多囊肾疾病继发慢性肾衰竭病史。这些囊肿为良性先天性肿瘤，通常无症状且病程良好，通过胸部CT确诊。在疑难病例中，磁共振成像可对心包肿块进行精确分析。当存在与胸痛相关的心膈角模糊影时，临床医生应考虑到这种可能性。
