以心包填塞为首发表现的侵袭性胸腺瘤。

T Tanaka, H Katakura, S Matsumoto, K Maezato
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引用次数: 0

摘要

一名68岁男性因进行性呼吸短促、干咳和全身性水肿到另一家医院就诊。胸部x线、超声心动图和胸部CT显示纵隔肿块和大量心包积液。他的心衰治疗后症状有所改善。心包积液带血。在那里,恶性细胞没有被证实。经开胸诊断纵隔肿瘤并切除。术后病理诊断为胸腺瘤,直接侵犯心包及主动脉外膜。胸腺瘤通常在长时间内无症状。以胸腺瘤伴大量心包积液为首发表现的症状性心包填塞并不常见。
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[Invasive thymoma with pericardial tamponade as initial manifestation].

A 68-year-old man presented to another hospital with progressive shortness of breath, dry cough, and systemic edema. A chest X-ray, echocardiogram, and chest CT showed a mediastinal mass and massive pericardial effusion. His symptoms improved after the treatment for heart failure. The pericardial effusion was bloody. In that, malignant cell wasn't proved. Thoracotomy was performed to diagnose the mediastinal tumor and to extirpate it. Pathological diagnosis after operation was thymoma with direct invasion to pericardium and tunica externa of aorta. Thymomas are routinely asymptomatic for prolonged periods of time. Symptomatic pericardial tamponade as initial manifestation due to a thymoma with a massive pericardial effusion is uncommon.

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