Successful treatment of type B2 thymoma with steroid and radiotherapy.

类固醇和放射疗法成功治疗 B2 型胸腺瘤。

• 发表时间: 2024 Aug
• 来源期刊: Respirol Case Rep
• DOI: 10.1002/rcr2.70006
• PMID: 39139612
• 文章类型: Case Reports
• 作者列表: Fujiwara M,Watanabe H,Takigawa Y,Goda M,Shiraha K,Inoue T,Matsuoka S,Kudo K,Sato A,Sato K,Fujiwara K,Shibayama T

关键词: prednisolone; radiotherapy; steroid; thymoma

Abstract

An 86-year-old woman with leg edema and dyspnea on exertion was admitted to our hospital. Chest computed tomography (CT) revealed a mass in the anterior mediastinum with pericardial invasion. Histological examination with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) led to the diagnosis of Masaoka stage IVa type B2 thymoma. For palliation, radiotherapy (32 Gy/16 fractions) and prednisolone (30 mg/day) were administered and tapered. After treatment, both the pericardial effusion and tumour size decreased. Combination therapy with steroids and radiotherapy may be effective for treating thymomas.

摘要

一名86岁的女性腿部水肿，运动时呼吸困难，入院。胸部计算机断层扫描（CT）显示前纵隔肿块伴心包浸润。支气管内超声引导下经支气管针吸活检（EBUS-TBNA）的组织学检查可诊断为Masaoka期IVaB2型胸腺瘤。为了减轻痛苦，放疗（32Gy/16次）和泼尼松龙（30mg/天）并逐渐减少。治疗后,心包积液和肿瘤大小均减小。类固醇和放射疗法的联合治疗可能对治疗胸腺瘤有效。