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- Spontaneous Hemothorax Secondary to Metastatic Thymic Carcinoma
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| 題 名 | Spontaneous Hemothorax Secondary to Metastatic Thymic Carcinoma=轉移性胸腺癌表現為自發性血胸 |
|---|---|
| 作 者 | 黃燦明; 禚靖; 趙載光; 彭忠衎; | 書刊名 | 胸腔醫學 |
| 卷 期 | 27:1 2012.02[民 101.02] |
| 頁 次 | 頁64-70 |
| 分類號 | 416.226 |
| 關鍵詞 | 自發性血胸; 轉移性胸腺癌; Spontaneous hemothorax; Metastatic thymic carcinoma; |
| 語 文 | 英文(English) |
| 中文摘要 | 胸腺癌是罕見的前縱膈腔腫瘤。雖然胸腺癌轉移肋膜常見,以自發性血胸表現為罕見。我們報導一個病例:一位五十三歲的男性,無過去病史,從急診住院,主訴為左側胸痛,合併冒冷汗,以及進階性呼吸困難。胸部X光發現左側大量肋膜積水。診斷性肋膜取液發現血色肋膜液,以生物化學與細胞學檢查,診斷為血胸。診斷性胸腔鏡檢查發現左側胸壁腫瘤併出血。病人接受局限性胸廓切開術及腫瘤切除。病理報告為轉移性胸腺癌。我同時回顧胸腺癌相關文獻。 |
| 英文摘要 | Thymic carcinoma is a rare anterior mediastinum tumor. Although pleural metastasis is common, thymic carcinoma presenting as spontaneous hemothorax is a rare presentation. We present the case of a 53-year-old man without a past medical history who was admitted from the emergency department for a sudden onset of left chest pain with cold sweating, followed by increasing shortness of breath. A chest roentgenogram taken on admission showed a large amount of pleural effusion on the left side. A diagnostic thoracocentesis yielded bloody pleural fluid, which was consistent with hemothorax in biochemical and cytological studies. Diagnostic video-assisted thoracoscopy showed a left chest wall tumor with bleeding. Limited thoracotomy with resection of the tumor was performed. The histologic report revealed metastatic thymic carcinoma. We also reviewed the literature on thymic carcinoma. |
本系統中英文摘要資訊取自各篇刊載內容。