Jung A L, Johnson D G, Condon V R, Pysher T J, Reppucci P
Department of Pediatrics, The University of Utah School of Medicine, Salt Lake City 84132.
J Perinatol. 1994 Nov-Dec;14(6):487-91.
The case of an infant with mesenchymal hamartoma of the chest wall is presented, and the role of conservative diagnostic and therapeutic intervention is emphasized. A large mass that involved the right hemithorax and chest wall was detected in utero on routine ultrasonographic studies and diagnosed as mesenchymal hamartoma by percutaneous fine needle biopsy at 4 days after birth. The mass did not enlarge after birth, but surgical debulking was necessary at 1 month because of progressive respiratory compromise. Tumor regrowth was noted over the ensuing 8 months, and a second debulking at 9 months has been followed by a 6-year interval without evidence of recurrence.
本文报告了一例胸壁间叶性错构瘤的婴儿病例，并强调了保守诊断和治疗干预的作用。在孕期常规超声检查中发现一个累及右半胸和胸壁的巨大肿块，出生后4天经皮细针活检诊断为间叶性错构瘤。肿块出生后未增大，但由于进行性呼吸功能不全，在1个月时需要进行手术减瘤。在随后的8个月中发现肿瘤复发，9个月时进行了第二次减瘤，之后6年无复发迹象。
