Posterior Mediastinal Paraganglioma: A Case Report and Literature Review

後縱膈腔內嗜鉻細胞瘤之病例報告及文獻回顧

林經偉(Ching-Wei Lin) ； 郭許達(Hsu-Tah Kuo) ； 陳培然(Pei-Jan Chen) ； 曾岐元(Chi-Yuan Tzen) ； 呂衍達(Yen-Ta Lu)

《胸腔醫學》 19卷6期 (2004/12) Pp. 517-523

https://doi.org/10.29806/TM.200412.0013

摘要

縱膈腔內嗜鉻細胞瘤是一個臨床上相當少見的腫瘤，大多數的是良性且病人病狀輕微或甚至沒有症狀；外科手術切除是最佳的治療方式。我們提出一個在後縱膈腔內之嗜鉻細胞瘤的病例，一位52歲健康男性於住院前一個禮拜，因為些許胸痛、乾咳以及呼吸困難等症狀而前來就診，經由胸部X光片及電腦斷層的檢查，發現有一巨大的腫瘤在後縱膈腔。此外男性沒有發燒、體重減輕、聲音沙啞、暈眩或咳血等症狀。患者接受胸腔外科腫瘤切除手術治療，病理組織檢查是縱膈腔內嗜鉻細胞瘤。病患術後良好，並且完全康復。在此並回顧後縱膈腔內嗜鉻細胞瘤之臨床症狀、診斷、治療及追蹤。

關鍵字

嗜鉻細胞瘤 ； 後縱膈腔腫瘤 ； 外科腫瘤切除手術

並列摘要

Mediastinal paragangliomas are rare tumors that are commonly benign, may be malignant. Once detected, surgical resection is always suggested. We present a rare case of an extra-adrenal paraganglioma in the posterior mediastinum. A 52-year-old previously healthy man was admitted because of mild chest pain, dry cough, and dyspnea after trauma to the chest more than 1 week prior to admission. The chest X-ray showed a large shadow in the left posterior mediastinum. The patient denied recent fever, weight loss, hoarseness, dizziness, or hemoptysis. He underwent a left posterolateral thoracotomy with complete removal of the tumor. Histopathologic examination revealed a mediastinal paraganglioma. The patient's postoperative recovery was uneventful and he has remained well on outpatient follow up.

並列關鍵字

paraganglioma ； posterior mediastinal tumor ； surgical resection