纵隔精原细胞瘤导致肺静脉狭窄伴肺梗死1例

Pulmonary vein stenosis with pulmonary infarction secondary to primary mediastinal seminoma:a case report

肺静脉狭窄是一种易漏诊和误诊的罕见病,可表现为咳嗽、咯血、肺部浸润影,临床及影像学表现缺乏特异性,常难以与肺炎、肺结核等鉴别,本文报道的是纵隔精原细胞瘤导致肺静脉狭窄伴肺梗死的一个成功诊治案例。该病例启发我们纵隔占位同时出现不能用感染等常见病因来解释的肺部浸润影时,应关注有无肺静脉狭窄。

Pulmonary vein stenosis is a rare condition that is often underdiagnosed and misdiagnosed.The clinical and radiologic manifestations are unspecific such as cough,hemoptysis and pulmonary lesions and are therefore difficult to distinguished with pneumonia and tuberculosis.The present study is a successful case report of pulmonary vein stenosis and pulmonary infraction secondary to mediastinal seminoma.This case suggested that pulmonary vein stenosis should be considered when a mediastinal mass is accompanied by pulmonary opacites that cannot be explained by common causes such as infection.