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天津市人民医院胸科1962至1980年间收入院并手术治疗神经源性肿瘤共39例。计神经鞘瘤33例,男女比数相似,年16至64岁(中位39岁)。胸透发现病变者9例,其余均有轻度胸部症状。X线检查示肿物轮廓清晰,质地均匀,直径3～15cm(中位5cm),32例位于后纵隔(左侧13例,右侧19例),1例位于前纵隔。其中1例为恶性神经鞘瘤,直径5.5cm,X线表现同于良性者。此33例皆完整切除,术后1～18年良好,无复发。神经母细胞瘤3例,皆男性,各年14、25和36岁。仅1例完整切除,术后并辅助化疗和放疗,但术后3 1/2年死于广泛转移。2例神经节瘤(男女各1)亦位于后纵隔脊柱旁沟,完整切除,术后各10及6年,良好。1例神经纤维瘤,女,48岁,位于左肺尖处,与周围粘连,亦切除之,求后已2年余,良好。
In the Department of Thoracic, Tianjin People’s Hospital, a total of 39 neurogenic tumors were treated surgically between 1962 and 1980. A total of 33 cases of schwannomas were counted, with similar male to female ratios, ranging from 16 to 64 years (median 39 years old). Chest lesions were found in 9 cases, and the rest had mild chest symptoms. X-ray examination showed a clear outline of the mass, a uniform texture, a diameter of 3 ~ 15cm (median 5cm), 32 cases in the posterior mediastinum (13 cases in the left, 19 cases in the right), 1 case in the anterior mediastinum. One case was a malignant schwannomas with a diameter of 5.5 cm. X-ray findings were similar to benign ones. All 33 cases were completely resected and were good from 1 to 18 years after surgery without recurrence. Neuroblastomas were found in 3 patients, all male, aged 14, 25, and 36 years old. Only one patient had complete resection and received adjuvant chemotherapy and radiotherapy, but died of extensive metastases 3 1/2 years after surgery. Two cases of ganglion tumors (one for men and one for men) were also located in the posterior mediastinal dural sulcus, and were completely resected. All cases were good 10 and 6 years after surgery. 1 case of neurofibromatosis, female, 48 years old, located at the tip of the left lung, adhered to the surrounding, and was also removed. It has been good for more than 2 years after seeking.