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題名 | Posterior Mediastinal Paraganglioma: A Case Report and Literature Review=後縱膈腔內嗜鉻細胞瘤之病例報告及文獻回顧 |
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作者 | 林經偉; 郭許達; 陳培然; 曾岐元; 呂衍達; | 書刊名 | 胸腔醫學 |
卷期 | 19:6 2004.12[民93.12] |
頁次 | 頁517-523 |
分類號 | 415.452 |
關鍵詞 | 嗜鉻細胞瘤; 後縱膈腔腫瘤; 外科腫瘤切除手術; Paraganglioma; Posterior mediastinal tumor; Surgical resection; |
語文 | 英文(English) |
中文摘要 | 縱膈腔內嗜鉻細胞瘤是一個臨床上相當少見的腫瘤,大多數的是良性且病人病狀輕微或甚至沒有症狀;外科手術切除是最佳的治療方式。我們提出一個在後縱膈腔內之嗜鉻細胞瘤的病例,一位52歲健康男性於住院前一個禮拜,因為些許胸痛、乾咳以及呼吸困難等症狀而前來就診,經由胸部x光片及電腦斷層的檢查,發現有一巨大的腫瘤在後縱膈腔。此外男性沒有發燒、體重減輕、聲音沙啞、暈昡或咳血等症狀。患者接受胸腔外科腫瘤切除手術治療,病理組織檢查是縱膈腔內嗜鉻細胞瘤。病患術後良好,並且完全康復。在此並回顧後縱膈腔內嗜鉻細胞瘤之臨床症狀、診斷、治療及追蹤。 |
英文摘要 | Mediastinal paragangliomas are rare humors that are commonly benign, may be malignant. Once detected, surgical resection is always suggested. We present a rare case of an extraadrenal paraganglioma in the posterior mediastinum. A 52-year-old previously healthy man was admitted because of mild chest pain, dry cough, and dyspnea after trauma to the chest more than 1 week prior to admission. The chest X-ray showed a large shadow in the left posterior mediastinum. The patient denied recent fever, weight loss, hoarseness, dizziness, or hemoptysis. He underwent a left posterolateral thoracotomy with complete removal of the tumor. Histopathologic examination revealed a mediastinal paraganglioma. The patient's postoperative recovery was uneventful and the has remained well on outpatient follow up. |
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