原发性纵隔绒毛膜癌

Primary mediastinal choriocarcinoma:a difficult and complicated case study

原发性纵隔绒毛膜癌(绒癌)是一种罕见的与妊娠无关的恶性肿瘤,儿童极为罕见。该文报道1例儿童原发性纵隔绒癌。此病例为13岁男性患儿,以气促、胸痛及发热入院,伴刺激性咳嗽及体重下降,影像学检查显示纵隔右侧缘巨大占位灶,尸检证实为纵隔及右肺绒毛膜上皮细胞癌。结合此病例,介绍原发性纵隔绒癌的临床特点、诊断和治疗方面的最新进展。

Primary mediastinal choriocarcinoma is a very rare malignant tumor unrelated to pregnancy. Here a case of primary mediastinal choriocarcinoma was reported. The patient was a 13-year-old boy. He presented with shortness of breath, chest pain, fever, irritable cough and weight loss. The imaging examination showed a huge space-occupying lesion at the right edge of mediastinum. The autopsy results showed right lung and mediastinal choriocarcinoma cell carcinoma. After the introduction of the case, this paper reviewed the clinical characteristics, diagnosis and treatment of primary mediastinal ehoriocarcinoma.