纵隔巨大胸腺脂肪瘤1例并文献复习  

Mediastinal giant thymolipoma： report of one case and review of literature

作　　者：田佳[1] 万毅新[1] 王虹[1] 王晓平[1] 

机构地区：[1]兰州大学第二医院呼吸科,730030

出　　处：《国际呼吸杂志》2013年第20期1536-1539,F0003,共5页International Journal of Respiration

摘　　要：目的探讨胸腺脂肪瘤的相关发病机制、临床表现、诊断及治疗特点，为临床提供参考。方法总结1例纵膈内巨大胸腺脂肪瘤患者的诊治经过，通过检索中外文献数据库，对有明确病理学证据的病例进行分析归纳。结果胸腺脂肪瘤是一种少见的多发于前纵隔的良性肿瘤，具体发病机制不明，临床表现无特异性，部分病例合并有自身免疫性疾病，CT及MRI可协助诊断，确诊需要病理学依据，手术切除为惟一可治愈的方法。结论胸腺脂肪瘤为好发于前纵隔的良性胸腺肿瘤，手术切除后愈合较好，电视胸腔镜为首选的切除肿物的手术方法。jective To investigate the related pathogenesis, clinical manifestations, diagnosis, and treatment of thymolipoma for clinical reference. Methods The diagnosis and treatment of one case of mediastinal giant thymolipoma were summarized. The cases which had pathology evidence were analyzed by searching for chinese and foreign literature database. Results The thymolipoma was a rare benign tumor in the anterior mediastinum, the specific pathogenesis was unclear, clinical manifestations were nonspecific, some cases complicated with autoimmune diseases, CT and MRI could assist the diagnosis, identifying the diagnosis need the pathology evidence,and surgical resection was the only method to cure. Conclusions The thymolipoma is a benigh tumor and most sits at anterior mediastinum,no recurrce case after surgical resection has been reported, video-assisted thoracoscope is the first selection for resection of the tumor.

关 键 词：胸腺脂肪瘤 发病机制 诊断 治疗 

分 类 号：R734.5[医药卫生—肿瘤]