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A Neurofibromatosis Type 1 Patient with Intrathoracic Meningocele Presenting with a Huge Mass on Chest Radiography

神經纖維瘤第一型病患合併胸腔內脊膜膨出之胸部X光呈現如大腫瘤

摘要


An intrathoracic meningocele was diagnosed in a 37-year-old woman who had the clinical features of neurofibromatosis type 1 (NF-1), including café-au-lait spots, cutaneous neurofibromas and kyphoscoliosis. Chest radiography of this patient revealed a huge mass-like radiopaque density or consolidation in the left upper lung field. In these cases, meningocele should be differentiated from posterior mediastinal tumors such as neurofibroma, neuroblastoma, and ganglioneuroma, because NF-1 has a relatively high risk of tumor formation. Regular follow-up with periodic imaging and without surgical treatment was recommended.

並列摘要


一位37歲女性被診斷出患巨大胸腔內脊膜膨出,其臨床症狀呈現出神經纖維瘤第一型之特徵包括咖啡牛奶斑、神經纖維瘤以及脊柱後側凸。病人之胸部X光於左上肺野呈現如腫塊般不透線的實質化病變。神經醫學專家建議此患者定期追蹤檢查暫不需外科手術治療。

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