Watanabe S, Sato H, Tawaraya K, Tsubota M, Endo M, Seki M
Department of Thoracic and Cardiovascular Surgery, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Nov;45(11):1889-92.
A 53-year-old woman was referred to our hospital for further evaluation of a mediastinal tumor. The tumor was diagnosed as a mediastinal angiomyolipoma by computed tomography and angiographic findings. Transarterial embolization was performed three times, then the tumor was completely organized. Although angiomyolipomas are often found in the kidney, those in the mediastinum are very rare. Angiomyolipoma is a benign tumor, then small asymptomatic tumor may be conserved. When the tumor is large in size and has a high risk of spontaneous rupture, arterial embolization is valuable for treatment of the tumor.
一名53岁女性因纵隔肿瘤被转诊至我院进行进一步评估。通过计算机断层扫描和血管造影检查结果，该肿瘤被诊断为纵隔血管平滑肌脂肪瘤。进行了三次经动脉栓塞治疗，之后肿瘤完全机化。虽然血管平滑肌脂肪瘤常见于肾脏，但纵隔内的此类肿瘤非常罕见。血管平滑肌脂肪瘤是一种良性肿瘤，对于较小的无症状肿瘤可采取保守治疗。当肿瘤体积较大且有自发破裂的高风险时，动脉栓塞对于该肿瘤的治疗具有重要价值。
