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A Huge CervicomeDiastinal Hemangioma Enveloping the Right Subclavian Vessels and Extending into the Intraspinal Canal: A Case Report

縱膈腔血管瘤合併頸部及脊椎侵犯:病例報告

摘要


良性血管瘤只佔縱膈腔腫瘤中百分之0.5,因為表現並無特異性且由非侵襲性的檢查不易診斷出來,開刀前往往無法確定診斷。我們報告一位27歲血管瘤的病人,手術時發現:整個血管瘤約25×15×15公分,侵犯到脊椎及頸部並壓迫大血管及整個右肺。在胸腔外科及神經外科合作下,整個腫瘤仍可完全取出。 在縱膈腔腫瘤中血管瘤雖然極為罕見,仍須列入鑑別診斷之一。

並列摘要


Benign hemangiomas account for less than 0.5% of mediastinal masses. While a preoperative diagnosis is difficult using noninvasive means, an MRI study proved useful for suggesting the correct diagnosis. We report a 27-year-old patient with a huge cervicomediastinal mass (25X15X15 cm) with compression of the entire right lung, extending into the spinal canal and the neck, and enveloping the right subclavian vessels. Total excision of the tumor was done by a neurosurgeon and chest surgeon, using both posterior and anterior approaches. A hemangioma, even though very rare, may present as a mass in the neck, and should be considered in the differential diagnosis of neck and mediastinal masses.

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