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題 名 | Aneurysm of Superior Vena Cava: A Case Report=上腔靜脈血管瘤:罕見之病歷報告 |
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作 者 | 周宜平; 許宏基; 管毅剛; 張晃宙; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 33:6 民89.11-12 |
頁 次 | 頁304-308 |
分類號 | 416.226 |
關鍵詞 | 上腔靜脈血管瘤; Aneurysm; Superior vena cava; |
語 文 | 英文(English) |
中文摘要 | 上腔靜脈血管瘤為一不常見之疾病。我們所報告的是一位二十四歲之男性病患因車禍所致左側鎖骨斷裂,而意外地在胸部X光發現一巨大的縱隔腔腫瘤,經外院骨折手術復位後轉診至本院。經過胸部電腦斷層掃瞄發現此腫瘤位於前縱隔腔,其放射線學之特徵顯示可能為一胸腺瘤或源自血管之腫瘤,於是接受剖胸探查,發現此腫瘤為一袋狀血管瘤,且連接至上腔靜脈。經手術切除後病理診斷確實為上腔靜脈血管瘤。該病患經手術後出院於門診追蹤一年後均未見復發,且生活作息及運動皆正常。 |
英文摘要 | Aneurysms of the superior vena cava are rare. A healthy 24-year-old man Was incidentaIly noted with a right parahilar mass was by chest radiograhpy. Chest computed tomography showed a suspected anterior mediastinal tumor, thymoma, or tumor originating from the great vessels of the anterior mediastinum. To obtain a definite diagnosis, anterior median sternotomy was performed. A saccular-type aneurysm of the superior vena cava was found. The aneurysm was removed successfully. The postoperative course was uneventful after follow up for 1 year. We review reports of aneurysm of the superior vena cava. Two types have been described: fusiform and saccular types. Evaluations of this aneurysm include inspiratory and expiratory chest radiography, chest CT, angiography, and cardiac ultrasonography. The majority of physicians agree to only conservative treatment for a fusiform-type aneurysm, but that surgical intervention is needed for a saccular-type aneurysm. Regular follow-up for both types of aneurysm is necessary. |
本系統中英文摘要資訊取自各篇刊載內容。