Alarge solitary fibrous tumor in an adult woman＇s mediastinum accompanied by distress and shortness of breath is described.We believe that a tumor of this large size in the mediastium has rarely been reported in the ...Alarge solitary fibrous tumor in an adult woman＇s mediastinum accompanied by distress and shortness of breath is described.We believe that a tumor of this large size in the mediastium has rarely been reported in the world literature.展开更多
Object.To study the clinical manifestations,diagnostic methods,surgical management ,and prognosis of various neurogenic mediastinal tumors.Method.One hundred and ten cases of neurogenic tumors of mediastinum were revi...Object.To study the clinical manifestations,diagnostic methods,surgical management ,and prognosis of various neurogenic mediastinal tumors.Method.One hundred and ten cases of neurogenic tumors of mediastinum were reviewed and retro-spectively analyzed.Results.Operative or hospitalization death happened in2cases,complications occurred in8cases,mostly were Horner’s syndrome or recurrent nerve paralysis.During the follow?up,there were2recur-rences in102benign tumors,and4cases of neurofibrosarcoma or malignant neurilemmoma died within3years postoperatively.Conclusion.Most mediastinal neurogenic tumors are benign.It is enough to establish diagnosis by chest X?ray and CT scan.There are different features in the clinical manifestations,diagnosing methods,and surgical management for the dumbbell tumors.Minimal invasive surgery and video?assisted thora-coscopy surgery(VATS)have a special value in treatment of the selected neurogenic mediastinal tumors.Benign neurogenic tumors rarely recur after complete resection,whereas malignant neurogenic tumors have poor prognosis.展开更多
Objective: To investigate the surgical treatment and prognosis of the primary mediastinal seminoma. Methods: Three cases with primary mediastinal seminoma from 1985 were retrospectively studied. They were male, aged 2...Objective: To investigate the surgical treatment and prognosis of the primary mediastinal seminoma. Methods: Three cases with primary mediastinal seminoma from 1985 were retrospectively studied. They were male, aged 23, 36 and 32 years respectively. The primary symptoms were chest pain and coughing. The chest X-ray examination revealed solid round mass in the anterior mediastinum, with the diameters varied from 3 cm to 18 cm and a smooth clear edge. The diagnosis was not clearly in all three cases, and then operation was performed. Results: There were no operative deaths and complications. The tumor was radically removed in 2 cases and palliatively removed in 1 case. The post-operative pathological diagnosis is seminoma in all three cases. Radiotherapy were performed in 4 weeks after operation. All cases have been followed up to now, with 1 cases of death and 2 cases survival. Conclusion: Primary seminoma of the mediastinum is very rare. Operation is the main treatment for the primary mediastinal seminoma. Seminoma shows a good prognosis.展开更多
MEDIASTINAL cavernous hemangioma is a kind of primary mediastinal mesenchymal tumor that occurs rarely in any age. It was first reported by Shennon in 1914. In this study we reported a case of mediastinal cavernous he...MEDIASTINAL cavernous hemangioma is a kind of primary mediastinal mesenchymal tumor that occurs rarely in any age. It was first reported by Shennon in 1914. In this study we reported a case of mediastinal cavernous hemangioma with abnormal vessel originating from left brachiocephalic vein.展开更多
Primary yolk sac tumor of the mediastinum is very rare. Yolk sac tumor is highly malignant, and has less chance of operation. One case, which treated in this institute since 1954, is retrospectively studied to investi...Primary yolk sac tumor of the mediastinum is very rare. Yolk sac tumor is highly malignant, and has less chance of operation. One case, which treated in this institute since 1954, is retrospectively studied to investigate the clinical characteristics, surgical treatment and prognosis of the primary mediastinal yolk sac tumor.展开更多
OBJECTIVE To summarize the experience in diagnosis and surgical treatment of 105 cases with a tumor of the chest wall,and to investigate re-construction of a large chest-wall defect after resection of a chest wall tum...OBJECTIVE To summarize the experience in diagnosis and surgical treatment of 105 cases with a tumor of the chest wall,and to investigate re-construction of a large chest-wall defect after resection of a chest wall tumor.METHODS Clinical data from 105 patients with a tumor of the chest wall were retrospectively analyzed.There were 78 males and 27 females with ages ranging from 6 to 70 years.Of the 105 cases,94 had a primary tumor,among which 75 were benign,19 malignant and the other 11 metastatic.After a resection of a chest-wall tumor in 19 patients,reconstruction of the large chest-wall defect was conducted.RESULTS All surgical operations were smoothly performed,without an intraoperative death.The results of postoperative follow-up were as follows:48 patients with a benign tumor were still living and well,16 patients with a benign tumor died of other diseases,13 with a malignant tumor survived for a period from 21 months to 8 years,and the others with a malignancy died of local recurrence or distant metastasis.All of the 11 patients with a metastatic tumor died of carcinomatous deseases during a period from 10 to 76 months.CONCLUSION With regard to a primary costal tumor without a patho-logical diagnosis,a restricted radical excision should be conducted first.Use of suitable repairing materials is very important for reconstruction of a mas-sive chest-wall defect.展开更多
文摘Alarge solitary fibrous tumor in an adult woman＇s mediastinum accompanied by distress and shortness of breath is described.We believe that a tumor of this large size in the mediastium has rarely been reported in the world literature.
文摘Object.To study the clinical manifestations,diagnostic methods,surgical management ,and prognosis of various neurogenic mediastinal tumors.Method.One hundred and ten cases of neurogenic tumors of mediastinum were reviewed and retro-spectively analyzed.Results.Operative or hospitalization death happened in2cases,complications occurred in8cases,mostly were Horner’s syndrome or recurrent nerve paralysis.During the follow?up,there were2recur-rences in102benign tumors,and4cases of neurofibrosarcoma or malignant neurilemmoma died within3years postoperatively.Conclusion.Most mediastinal neurogenic tumors are benign.It is enough to establish diagnosis by chest X?ray and CT scan.There are different features in the clinical manifestations,diagnosing methods,and surgical management for the dumbbell tumors.Minimal invasive surgery and video?assisted thora-coscopy surgery(VATS)have a special value in treatment of the selected neurogenic mediastinal tumors.Benign neurogenic tumors rarely recur after complete resection,whereas malignant neurogenic tumors have poor prognosis.
文摘Objective: To investigate the surgical treatment and prognosis of the primary mediastinal seminoma. Methods: Three cases with primary mediastinal seminoma from 1985 were retrospectively studied. They were male, aged 23, 36 and 32 years respectively. The primary symptoms were chest pain and coughing. The chest X-ray examination revealed solid round mass in the anterior mediastinum, with the diameters varied from 3 cm to 18 cm and a smooth clear edge. The diagnosis was not clearly in all three cases, and then operation was performed. Results: There were no operative deaths and complications. The tumor was radically removed in 2 cases and palliatively removed in 1 case. The post-operative pathological diagnosis is seminoma in all three cases. Radiotherapy were performed in 4 weeks after operation. All cases have been followed up to now, with 1 cases of death and 2 cases survival. Conclusion: Primary seminoma of the mediastinum is very rare. Operation is the main treatment for the primary mediastinal seminoma. Seminoma shows a good prognosis.
文摘MEDIASTINAL cavernous hemangioma is a kind of primary mediastinal mesenchymal tumor that occurs rarely in any age. It was first reported by Shennon in 1914. In this study we reported a case of mediastinal cavernous hemangioma with abnormal vessel originating from left brachiocephalic vein.
文摘Primary yolk sac tumor of the mediastinum is very rare. Yolk sac tumor is highly malignant, and has less chance of operation. One case, which treated in this institute since 1954, is retrospectively studied to investigate the clinical characteristics, surgical treatment and prognosis of the primary mediastinal yolk sac tumor.
文摘OBJECTIVE To summarize the experience in diagnosis and surgical treatment of 105 cases with a tumor of the chest wall,and to investigate re-construction of a large chest-wall defect after resection of a chest wall tumor.METHODS Clinical data from 105 patients with a tumor of the chest wall were retrospectively analyzed.There were 78 males and 27 females with ages ranging from 6 to 70 years.Of the 105 cases,94 had a primary tumor,among which 75 were benign,19 malignant and the other 11 metastatic.After a resection of a chest-wall tumor in 19 patients,reconstruction of the large chest-wall defect was conducted.RESULTS All surgical operations were smoothly performed,without an intraoperative death.The results of postoperative follow-up were as follows:48 patients with a benign tumor were still living and well,16 patients with a benign tumor died of other diseases,13 with a malignant tumor survived for a period from 21 months to 8 years,and the others with a malignancy died of local recurrence or distant metastasis.All of the 11 patients with a metastatic tumor died of carcinomatous deseases during a period from 10 to 76 months.CONCLUSION With regard to a primary costal tumor without a patho-logical diagnosis,a restricted radical excision should be conducted first.Use of suitable repairing materials is very important for reconstruction of a mas-sive chest-wall defect.
