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題 名 | Radical Excision of Malignant Thymoma with Invasion of the Superior Vena Cava and Right Atrium: A Case Report=完全切除侵犯上腔靜脈及右心房之惡性胸腺瘤--病例報告 |
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作 者 | 楊超然; 李君儀; | 書刊名 | 臺灣外科醫學會雜誌 |
卷 期 | 34:6 民90.11-12 |
頁 次 | 頁332-335 |
分類號 | 416.226 |
關鍵詞 | 上腔靜脈; 右心房; 惡性胸腺瘤; Invasive thymoma; Right atrium; Superior vena cava; |
語 文 | 英文(English) |
英文摘要 | Thymic carcinoma with invasion into the superior vena cava and right atrium has rarely been reported.We report on a 62 year-old woman who suffered chronic cough,weight loss and dyspnea. Chest roentgenography, chest computed tomography (CT)and echocardiography revealed an anterior mediastinal mass about 5x7 cm invading the superior vena cava (SVC)and right atrium.During hospitalization,an episode of circulatory collapse during postural change occurred. Surgery was performed immediately due to the life-threatening intracardiac mass. En bloc excision of the tumor under cardiopulmonary bypass was done,including the intravascular and intracardiac portions. The defect in the SVC was repaired using fresh autologous pericardium. Pathologic examination showed thymic carcinoma.The postoperative course was uneventful and the patient was sent to the radiation oncology department for adjuvant radiotherapy. Follow-up echocardiography at six months revealed no residual intracardiac tumor. |
本系統中英文摘要資訊取自各篇刊載內容。