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。