Kita Y, Matsushita K, Kageyama Y, Ohi S, Nogimura H, Suzuki K
First Department of Surgery, Hamamatsu University School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Jul;45(7):1011-4.
A 71-year-old man was admitted our hospital because of mediastinal tumor. On chest X-ray, the mass was about 10 cm in diameter, contact with the right side of No. 3-5 vertebra and extended to the right thorax. After about 8 months, he felt anterior chest and back pain. Tumor was growing on chest X-ray and, on chest CT, linear and spotty calcification existed in it. On MRI, T1 weighted image, most part of tumor was low signal area but high area was also existed and it was parenchymatous hemorrhage. On T2 weighted image, tumor was high signal and irregular low area was calcification. Operation was performed and a hard tumor, measured 12 x 9 x 6 cm, originated from the 3rd-4th rib was resected. Histopathological diagnosis was chondrosarcoma. MRI was effective for the diagnosis of this case.
一名71岁男性因纵隔肿瘤入住我院。胸部X线检查显示,肿块直径约10厘米,与第3 - 5胸椎右侧相连并延伸至右胸。约8个月后,他感到前胸和背部疼痛。胸部X线检查显示肿瘤在生长,胸部CT显示肿瘤内存在线状和点状钙化。在MRI的T1加权图像上,肿瘤大部分为低信号区,但也有高信号区,提示实质内出血。在T2加权图像上,肿瘤为高信号,不规则低信号区为钙化。遂行手术,切除了一个起源于第3 - 4肋骨、大小为12×9×6厘米的坚硬肿瘤。组织病理学诊断为软骨肉瘤。MRI对该病例的诊断有效。