Tabuchi A, Katsumura T, Fujiwara T, Inada H, Murakami T, Masaki H, Yoshida H, Kanazawa S, Fukuhiro Y, Ishida A
Division of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan.
Kyobu Geka. 1995 Nov;48(12):1002-5.
A case of rare thymic squamous cell carcinoma was reported. A 46-year-old female was admitted to our hospital because of an abnormal shadow on chest X-ray. Chest CT showed anterior mediastinal tumor and histological diagnosis of squamous cell carcinoma was made by needle biopsy under CT guide. Esophagus and lung were no abnormal findings, we thought the primary region was thymus. On mid-sternotomy, anterior mediastinal tumor was resected with thymus, right phrenic nerve and pericardium, however it was not direct invasion to heart, great vessels, lung and chest wall. Resection of peripheral fatty tissue and dissection of mediastinal lymph nodes as much as possible, it was not capsular invasion and mediastinal lymph nodes metastasis and complete curative resection was able to perform. Additional radiation therapy was done, post-operative course was uneventful.
报告了一例罕见的胸腺鳞状细胞癌病例。一名46岁女性因胸部X光片出现异常阴影入住我院。胸部CT显示前纵隔肿瘤，经CT引导下针吸活检做出鳞状细胞癌的组织学诊断。食管和肺部未发现异常，我们认为原发部位是胸腺。在正中胸骨切开术中，切除了前纵隔肿瘤及胸腺、右膈神经和心包，但肿瘤未直接侵犯心脏、大血管、肺和胸壁。尽可能切除周围脂肪组织并清扫纵隔淋巴结，肿瘤未侵犯包膜及纵隔淋巴结转移，能够进行根治性切除。术后进行了辅助放疗，术后过程顺利。
