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胸腺类癌很少见。我院从1985～1993间共收治2例。文中就其临床、诊断及治疗作一讨论。1 病例介绍 例1,男性,40岁。诉颈部肿块1年余,伴气促2个月。查颈前部见一不对称肿块约10m×6cm,质软表面静脉曲张,拟为甲状腺瘤收住院。胸部X线片示:左上纵隔见一较大肿物影,外界清晰,内及上界不清,侧位胸片病变位于前上纵隔。诊断为胸腺瘤但不除外胸内甲状腺癌(图lA)。经开胸探查:肿块位于前上纵隔,呈亚铃状。大小为20cm×l0cm×8cm,包膜完整,即行肿物切除术。术后病理报告为胸腺类
Thyroid cancer is rare. Our hospital received 2 cases from 1985 to 1993. The article discusses its clinical, diagnosis and treatment. 1 Case Introduction Example 1, male, 40 years old. He complained of a neck mass for more than one year, with a shortness of breath for 2 months. Check the front of the neck to see an asymmetric mass of about 10m × 6cm, soft surface varicose veins, intended to be hospitalized for thyroid tumors. Chest X-ray films showed a large mass in the upper left mediastinum. The external environment was clear, and the internal and upper borders were unclear. Lateral chest radiographs were located in the anterior superior mediastinum. Thymomas were diagnosed but no intrathoracic thyroid cancer was excluded (Fig. 1A). After thoracotomy exploration: the mass is located in the anterior superior mediastinum and is subbelloid. The size is 20cm×l0cm×8cm and the capsule is complete, which means that the tumor is removed. Postoperative pathology report for thymus