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本文统计我院自1955年至1983年经手术及病理证实的原发性纵隔肿瘤与囊肿190例。其中包括11种病变,良性167例,恶性23例。 作者对几种常见的纵隔肿瘤与囊肿的病理与X线表现总结如下。一、畸胎类肿瘤:本组59例,其中58例位于前纵隔,仅1例位于后纵隔。多数边缘光滑,境界清楚;但少数可出现边缘模糊、肺内炎性肿块,粗毛刺及索条影,也有呈多囊、结节状及凸凹不平等少见X线表现。其内有牙齿或骨影以及病人咯出毛发则具有“定性”诊断价值。二、神经原性肿瘤:54例,其中后纵隔50例,前纵隔3例,肺野内1例。良性
This article counts 190 cases of primary mediastinal tumors and cysts confirmed by surgery and pathology in our hospital from 1955 to 1983. Including 11 kinds of lesions, benign 167 cases, 23 cases of malignant. The authors summarize the pathology and X-ray findings of several common mediastinal tumors and cysts. First, teratoma tumors: 59 cases in this group, 58 cases in the anterior mediastinum, only 1 case in the posterior mediastinum. Most of the edges are smooth and the realm is clear; however, a few may have blurred edges, inflammatory masses in the lungs, rough burrs and cords, and there are rare X-ray findings of polycystic, nodular, and concave-convex inequality. Its internal teeth or bone shadow and the patient’s eruption of hair have a “qualitative” diagnostic value. Second, neurogenic tumors: 54 cases, including posterior mediastinum in 50 cases, 3 cases of anterior mediastinum, 1 case in the lung field. benign