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病例1男,19岁。右胸部间断胀痛,伴活动后胸闷、气促2个多月。7年前曾因右膝关节骨肉瘤行手术治疗。在其他医院行胸部CT检查示:右胸腔内有巨大肿块,基本占满整个右侧胸腔,考虑转移性骨肉瘤(图1)。胸部病灶采用氩氦刀治疗,并给予2个疗程化疗:异环磷酰胺(IFO)+阿霉素(ADM)。复查:胸腔内肿块增大。经上述治疗后患者症状加重,呼吸困难明显,无法活动和平卧,于2009年7月20日以
Case 1 male, 19 years old. Abdominal pain in the right chest, chest tightness with activity, shortness of breath more than 2 months. 7 years ago due to surgical treatment of right knee osteosarcoma. Chest CT examination in other hospitals showed: there is a huge mass in the right chest cavity, which basically occupy the entire right chest, considering metastatic osteosarcoma (Figure 1). Thoracic lesions treated with argon-helium knife, and given two courses of chemotherapy: ifosfamide (IFO) + doxorubicin (ADM). Review: chest cavity mass increases. After the treatment of patients with symptoms worse, difficulty breathing, unable to move and supine, on July 20, 2009 with