左侧胸腔巨大混合性生殖细胞瘤一例

A case of giant mixed germ cell tumor of the left thoracic cavity

混合性生殖细胞瘤(MGCT)是一种较为罕见的恶性肿瘤, 可发生于身体的多个部位, 其恶性程度较高, 但无特异性临床表现和典型影像学特征。目前国内外均未见文献报道原发于胸腔的MGCT病例。笔者报道了1例纵隔旁左侧胸腔巨大MGCT病例, 其病理成分为卵黄囊瘤和畸胎瘤, 并分别从影像学特征、临床表现和病理特征等方面以及结合相关文献报道分析了MGCT的特点, 旨在提高其诊疗能力。

Mixed germ cell tumor(MGCT)is a rare type of malignancy that occurs in many parts of the body with a high degree of malignancy but no specific clinical manifestations and typical imaging features.At present,no cases of MGCT originating in the thoracic cavity have been reported in the literature at home and abroad.The authors reported a case of giant MGCT of the left thoracic beside the mediastinum,whose pathologial components were yolk sac tumor and teratoma.This paper analyzed the characteristics of MGCT from imaging features,clinical manifestations and pathological features,combined with relevant literature reports to improve the abilities of MGCT diagnosis and treatment.