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生于后纵隔孤立性纤维瘤罕见,现报告一例右侧后下纵隔的病例: 患者,女性,37岁,因“吞咽异物感半年”来诊。体检未见阳性体征;五官科以“咽炎”治疗无效来行食管钡餐造影。胸部透视见右心膈角处约6.5×6.0cm类圆形块影,吞钡造影见食道下段受肿块压迫略弧形向左移位,粘膜光整,钡剂通过稍不畅;即行CT扫描,见右后下纵隔脊柱旁沟处类圆形7.0×5.5×6.0cm病灶,病灶内弥漫性钙化影,CT值138Hu,轻度推压食管与下腔静脉。因怀疑肠管疝入后纵隔,遂半个
Born in posterior mediastinum, solitary fibroids are rare, and one case of the right posterior inferior mediastinum is now reported: Patients, females, 37 years old, presented for “swallowing foreign body sensation for six months”. There were no positive signs on the physical examination; the ENT was treated with esophageal barium meal with no effect of “pharyngitis”. Chest radiography, see a round block of about 6.5 x 6.0 cm in the right atrium. The swallowing angiography shows that the lower part of the esophagus is displaced slightly by the pressure of the lumps. The mucosa is smoothed and the tincture passes through; the CT scan is performed. , see the right posterior mediastinal paravertebral ditch near the round shape of 7.0 × 5.5 × 6.0cm lesions, lesions within the diffuse calcification, CT value of 138Hu, mildly push the esophagus and inferior vena cava. Due to suspected bowel invasion into the posterior mediastinum, half a fist