纵隔肿瘤诊断和手术操作上的某些特点

DIAGNOSTIC AND OPERATIVE CHARACTERISTICS IN MEDIASTINAL TUMORS

本文82例纵隔肿瘤在诊断和外科治疗上的某些特点作了分析讨论。胸腺瘤占首位,其次为畸胎瘤、神经原性肿瘤。良性70例,恶性12例,占14.6％。较国内其他组高,指出不同的肿瘤有各自特殊的临床表现和好发部位对诊断起着重要作用。解剖关系复杂,多与邻近器官粘连,手术主张充分暴露,暴露一部分,切除一部分。

The authors discussed some charaeterics of the diagnosis and surgical therapy in82 patients with mediastinal neoplasms. Thymoma were the most frequent tumorsin the mediastinum, followed by teratoma and (?)neurogenic neoplasms. Of these 82tumors, 70 wene benign and 12 malignant. The malignant proportion was 14.6%,which was higher than that of other native series. This paper also showed that allneoplasms have specific clinical manifestations and typical locations which is impor-tant for the diagnosis, The authors proposed that the resection should be performedas the tumors were exposed because the mediastinal anatomy is complicate and thetumors adhere to the adjacent organs.