Nomori H, Morinaga S, Kobayashi R, Mimura T
Department of Surgery, Saiseikai Central Hospital, Tokyo, Japan.
Eur J Cardiothorac Surg. 1994;8(4):222-4. doi: 10.1016/1010-7940(94)90120-1.
The patient was a 59-year-old female with cervical thymic cancer infiltrating the trachea and right lobe of the thyroid, with associated metastasis to a cervical lymph node. The tumor was completely resected along with the infiltrated organs, in addition to dissection of the cervical and mediastinal lymph nodes, total thymectomy and tracheoplasty. Histologically the tumor consisted of lymphoepithelioma-like carcinoma and mucoepidermoid carcinoma. Postoperative radiotherapy for the neck and upper mediastinum was performed at a total dose of 44 Gy. The patient is alive without recurrence 8 months after surgery.
该患者为59岁女性，患有侵袭气管和甲状腺右叶的宫颈胸腺癌，并伴有颈部淋巴结转移。除了清扫颈部和纵隔淋巴结、全胸腺切除术和气管成形术外，还将肿瘤与受浸润器官一并完整切除。组织学检查显示，肿瘤由淋巴上皮瘤样癌和黏液表皮样癌组成。对颈部和上纵隔进行术后放疗，总剂量为44 Gy。患者术后8个月仍存活，无复发。
