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Computed Tomographic Features of Thymic Carcinoid
胸腺類腫瘤電腦斷層掃描攝影之表現
摘要
為了尋找胸腺類腫瘤(thymic carcinoid)在電腦斷層掃描攝影上之特色，吾等回溯性的收集了五個病理證實為胸腺類腫瘤之個案，並加以仔細分析。吾等發現大部份胸腺類腫瘤是體積龐大(5/5)，表面鼓起(5/5)，具有高度侵潤性(4/5)，並且在注射靜脈造影劑後皆呈現馬賽克般之不均勻性顯影(5/5)。其中四位個案接受腫瘤之外科手術切除，其後在一個月到五十五個月的術後電腦斷層掃描攝影追蹤檢查中，並無發覺有局部復發之跡象。伴隨有庫欣氏症候群(Cushing syndrome)者只有一位，這機率與前人文獻上所報告的接近。吾等之結論認為若發現有一前胸縱隔腫瘤在電腦斷層掃描攝影上具有體積龐大，表面鼓起，高度侵潤性，且在注射靜脈造影劑後會出現像馬賽克般之不均勻性顯影者，胸腺類腫瘤是一定要列在鑑別診斷之中。
並列摘要
To find out the computed tomographic (CT) features of thymic carcinoid, five pathologically proved cases were retrospectively analyzed. Most thymic carcinoids were bulky (5/5), bulging (4/5), highly encroaching (5/5) and of mosaic, heterogeneous enhancement (5/5). Four cases received surgical excision of the tumor; their post-operative follow-up CT scans, performed in a 1 to 55 month period, showed no definite evidence of local recurrence. Associated Cushing's syndrome occurred in only one case, similar to statistical incidence in the reported reviewed literature. It was concluded that if an anterior mediastinal tumor was found by CT scan to have bulky, bulging, mosaic, heterogeneous-enhanced and highly-encroaching characteristics, thymic carcinoid should always be considered among differential diagnoses.
延伸閱讀
- 李仁智（1989）。胸部電腦斷層攝影術的臨床應用。慈濟醫學雜誌，1(1)，63-68。https://doi.org/10.6440/TZUCMJ.198905.0063
- 源金好、謝明仁、張遵（1986）。電腦斷層對惡性胸腺瘤之應用及評估。中華放射線醫學雜誌，11(2)，123-130。https://www.airitilibrary.com/Article/Detail?DocID=10188940-198606-11-2-123-130-a
- Lin, Y. T., Tsai, I. C., Chen, C. C. C., & Lee, T. (2008). 胸腺上皮瘤在電腦斷層上的表現：依據2004年WHO分類方法. 中華放射線醫學雜誌, 33(4), 225-232. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200812-33-4-225-232-a
- 刁翠美、潘慧本、張遵（1982）。胸線囊、胸線瘤與胸線增生之電腦斷層攝影診斷。中華放射線醫學雜誌，7(2)，99-107。https://www.airitilibrary.com/Article/Detail?DocID=10188940-198206-7-2-99-107-a
- Hung, H. C., Lee, T., & Lee, S. K. (1999). 侵襲性胸腺瘤與胸腺上皮癌在電腦斷層上的鑑別診斷. 中華放射線醫學雜誌, 24(5), 179-184. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199910-24-5-179-184-a