在成年人的胸内尤инг肉瘤伪装成肺
Raja Lahiri1, Shubham Singh Rawat2, Kandhala Srikant3
1CVTS, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India.
BMJ case reports
|January 31, 2024
概括
胸内外骨欧文肉瘤 (EES) 可以模仿成年人的肺. 这一案例凸显了组织病理学对于诊断这种罕见瘤和指导治疗的重要性.
科学领域:
- 在瘤学瘤学.
- 胸部外科手术 胸部外科手术
- 病理学 病理学 病理学
背景情况:
- 胸内外骨欧文肉瘤 (EES) 是一种罕见的恶性瘤.
- EES可能会出现非特异性症状,使诊断复杂化.
研究的目的:
- 为了在成年人身上呈现一个胸内外骨欧文肉瘤 (EES) 的病例.
- 为了强调与这种罕见瘤相关的诊断挑战.
- 讨论EES的管理和结果.
主要方法:
- 一个成年男性的病例介绍,有一个大的胸内质量.
- 诊断工作包括成像和组织病理学.
- 使用免疫组织化学和光 in situ 杂交,确认诊断.
- 手术切除,然后进行辅助疗法.
主要成果:
- 手术前的诊断结果是不确定的,最初表明肺部.
- 组织病理学证实了小圆形蓝细胞瘤,诊断为尤文肉瘤.
- 患者在初始治疗后出现了复发,但通过辅助化疗实现了缓解.
结论:
- 胸内外骨欧文肉瘤 (EES) 需要高度的怀疑指数,特别是当呈现异常时.
- 多模式治疗,包括手术和化疗,可以有效.
- 患者遵守辅助疗法对于长期结果很重要.
相关概念视频
Pneumothorax-II
150
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
150
Pneumothorax-I
209
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
209
Pulmonary Tuberculosis III
332
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
332
Other Pulmonary Disorders
840
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
840
Endoscopic Studies II: Thoracocentesis
261
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
261
Flail Chest-I
186
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
186


