Spontaneous Hemothorax Secondary to Metastatic Thymic Carcinoma

轉移性胸腺癌表現為自發性血胸

黃燦明(Tsan-Ming Huang) ； 禚靖(Ching Tzau) ； 趙載光(Tai-Kuang Chao) ； 彭忠衎(Chung-Kan Peng)

《胸腔醫學》 27卷1期 (2012/02) Pp. 64-70

https://doi.org/10.29806/TM.201202.0009

摘要

胸腺癌是罕見的前縱膈腔腫瘤。雖然胸腺癌轉移肋膜常見，以自發性血胸表現為罕見。我們報導一個病例：一位五十三歲的男性，無過去病史，從急診住院，主訴為左側胸痛，合併冒冷汗，以及進階性呼吸困難。胸部X光發現左側大量肋膜積水。診斷性肋膜取液發現血色肋膜液，以生物化學與細胞學檢查，診斷為血胸。診斷性胸腔鏡檢查發現左側胸壁腫瘤併出血。病人接受局限性胸廓切開術及腫瘤切除。病理報告為轉移性胸腺癌。我同時回顧胸腺癌相關文獻。

關鍵字

自發性血胸 ； 轉移性胸腺癌

並列摘要

Thymic carcinoma is a rare anterior mediastinum tumor. Although pleural metastasis is common, thymic carcinoma presenting as spontaneous hemothorax is a rare presentation. We present the case of a 53-year-old man without a past medical history who was admitted from the emergency department for a sudden onset of left chest pain with cold sweating, followed by increasing shortness of breath. A chest roentgenogram taken on admission showed a large amount of pleural effusion on the left side. A diagnostic thoracocentesis yielded bloody pleural fluid, which was consistent with hemothorax in biochemical and cytological studies. Diagnostic video-assisted thoracoscopy showed a left chest wall tumor with bleeding. Limited thoracotomy with resection of the tumor was performed. The histologic report revealed metastatic thymic carcinoma. We also reviewed the literature on thymic carcinoma.

並列關鍵字

spontaneous hemothorax ； metastatic thymic carcinoma