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我科收治纵隔原发性精原细胞瘤、结节病及纵隔囊性畸胎瘤自发性破裂各1例,临床均误诊为纵隔恶性淋巴瘤,两者临床症状和X线表现均有相似点,最后经病理证实而确诊。 例1 男,14岁,因胸闷2月余,胸片显示:前上中纵隔巨大分叶状块影,无钙化影,拟诊“纵隔恶性淋巴瘤”(图1)。1983年11月24日剖胸探查,肿块约20×18×18cm。因广泛侵犯邻近血管,心包及肺组织,无法手术切除。病理诊断:“纵隔精原细胞瘤”(图2～
In our department, there were 1 case of primary seminomas, sarcoidosis, and spontaneous rupture of mediastinal cystic teratoma. Clinically, they were misdiagnosed as mediastinal malignant lymphomas. The clinical symptoms and X-ray findings were similar. , Finally confirmed by pathology and confirmed. Example 1 Male, 14 years old, chest tightness more than 2 months, chest X-ray shows: before the mediastinal mediastinal huge lobular block shadow, no calcification, diagnosed as “mediastinal malignant lymphoma” (Figure 1). November 24, 1983 exploratory chest exploration, mass about 20 × 18 × 18cm. Due to extensive violations of adjacent blood vessels, pericardium and lung tissue, surgical resection is not possible. Pathological diagnosis: “mediastinal seminoma” (Figure 2 ~