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摘要: 报告1例误诊为神经鞘瘤的纵隔支气管囊肿。患者既往无胸痛、呼吸困难、咳嗽、咳痰、咯血等症状，胸部增强CT示纵隔肿物，边界清，较大横截面为3.9 cm×3.4 cm，未见明显强化，初步诊断考虑神经鞘瘤、气管囊肿或食管囊肿可能。全身麻醉下经颈入路切除纵隔肿瘤，术中发现肿块位于中纵隔和上纵隔，直径约4 cm，表面光滑，内含胶冻样囊液，与食管和气管粘连。术后病理学诊断为支气管源性囊肿。患者术后恢复良好，随访至今未复发。Abstract: A case of mediastinal bronchial cyst misdiagnosed as schwannoma is reported. The patient had no chest pain, dyspnea, cough, sputum and hemoptysis in the past. Chest enhanced CT showed mediastinal mass with clear boundary. The larger cross-section was about 3.9 cm × 3.4 cm, and there was no obvious enhancement. The primary diagnosis was considered as schwannoma, tracheal cyst or esophagus cyst. The mediastinal tumor was resected via cervical approach under general anesthesia. During the operation, it was found that the mass was located in the middle and upper mediastinum, with diameter of about 4 cm and a smooth surface, containing gelatinous cystic fluid and adhered to the esophagus and trachea. Postoperative pathological diagnosis was bronchogenic cyst. The patient recovered well after the operation, and has not recurred since follow-up.
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Key words:
- bronchogenic cyst /
- schwannoma /
- misdiagnose
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