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患者女,52岁。胸痛、胸闷2个月,声嘶1个月。体格检查:眼球活动、肌张力正常,心肺无异常,双侧锁骨上无肿大淋巴结。X 线片示后纵隔有两个圆球状肿物,直径分别为8cm 和6cm,两者相距8cm。周边光滑,密度均匀,无钙化影,侧位片见肿瘤与脊柱重叠,胸膜无改变,无积液。间接喉镜检查见左侧声带麻痹,近正中位固定。临床诊断:后纵隔原发性神经源性肿瘤。手术见:左肺上叶与心包、心底部大血管、气管呈冻结状固定。肿瘤呈灰白色,质硬,未见有肿大淋巴
Female patient, 52 years old. Chest pain, chest tightness for 2 months, hoarseness for 1 month. Physical examination: eye movements, normal muscle tone, no abnormalities of heart and lung, no enlarged lymph nodes on both sides of the clavicle. The X-ray film showed two posterior mediastinal masses with diameters of 8 cm and 6 cm, respectively, and the distance between them was 8 cm. Peripheral smooth, uniform density, no calcification, lateral view of the tumor overlap with the spine, pleural no change, no effusion. For indirect laryngoscopy, the vocal cords were paralyzed on the left side and fixed in the near median position. Clinical diagnosis: posterior mediastinal primary neurogenic tumor. Surgical treatment: left upper lobe and pericardium, large vessels at the bottom of the heart, and trachea were frozen. The tumor is grayish white, hard, and there is no lymphadenopathy