以甲胎蛋白升高为突出表现的胸腺癌1例及文献复习  

Thymic Carcinoma with Extremely Elevated AFP:A Case Report and Literature Review

作　　者：陈莹[1] 齐跃[1] 郭英[1] 庞学伟[1] 何春燕[2] 秦明照[1] 

机构地区：[1]首都医科大学附属北京同仁医院干部医疗科,北京100730 [2]首都医科大学附属北京同仁医院病理科,北京100730

出　　处：《中国医药导刊》2010年第8期1294-1295,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:报道1例以AFP等肿瘤标志物升高为突出表现的胸腺癌,结合文献复习加深对此病的认识。方法:81岁女性患者,双下肢水肿。肺CT示前纵隔内占位性病变,累及临近血管、胸膜,考虑为恶性病变可能性大,侵袭性胸腺瘤?结果:病理示胸腺癌。结论:以AFP等肿瘤标志物升高为突出表现的胸腺癌罕见,相关文献复习以避免误诊。Objective： To report one case of thymic carcinoma which with extremely elevated AFP level and review the relevant literature. Methods＇81-year-old female had edema on lower extremity. Thoracic CT had shown space occupying lesion in the anterior mediast/num, which invasing adjacent vessel and pleura. Invasive thymoma looks very likely. Results： Histopathological finding showed thymic carcinoma. Conclusions：Thymic carcinoma with extremely elevated tumor markers is rare. Review the relevant literature is to avoid misdiagnosis.

关 键 词：胸腺瘤 肝样胸腺癌 甲胎蛋白 癌胚抗原 

分 类 号：R736.3[医药卫生—肿瘤]