tailieunhanh - Báo cáo y học: "Synchronous primary intrapulmonary and mediastinal thymoma-A case report"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Synchronous primary intrapulmonary and mediastinal thymoma-A case report. | Song et al. Journal of Cardiothoracic Surgery 2010 5 69 http content 5 1 69 JOTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Synchronous primary intrapulmonary and mediastinal thymoma-A case report Zuoqing Song Xiaohong Xu Shujun Li Sen Wei Jun Chen Qinghua Zhou Abstract We report an extremely rare case of Synchronous primary intrapulmonary and mediastinal thymoma in a Chinese patient. We describe the histological and radiological findings which support the possibility of multicentric thymoma. Resection of the mass in the left anterior superior mediastinum and upper lobectomy of right lung were performed with lymph Nodes clearance superior vena cava left and right brachiocephalic veins resection reconstruction of left brachiocephalic vein to right auricle and reconstruction of right brachiocephalic vein to superior vena cava. Introduction Thymomas are tumors derived from thymic epithelial cells and have an incidence of per 100000 1 . Primary intrapulmonary thymomas are defined as thymomas arising in an intrapulmonary location without an associated mediastinal component and are very rare 2 . Here we present a successfully resected case of synchronous primary intrapulmonary and mediastinal thymoma with vascular reconstruction. Case report A 55-year-old Chinese man was admitted with a history of progressive exertional dyspnea of 55 days duration and a radiological finding of an anterior mediastinal mass for 7 days. The patient had no clinical features of myasthenia gravis. An enhanced Chest computed tomographic scan revealed a cm X cm X cm mass in the anterior segment of the right upper lobe with continuation to some mediastinal swelling lymph nodes. Multiple swelling lymph nodes could be found in the mediastinum Figure 1A B Figure 2A B C . Three-D reconstruction showed the superior vena cava whose lumen was unobstructed but deformated under the compression of the mass Figure 1C . A computed tomographic .

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