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原发性纵隔肿瘤295例诊治
引用本文:叶波,李鉴,赵守华,杨龙海,刘向阳.原发性纵隔肿瘤295例诊治[J].中国医刊,2008,43(10).
作者姓名:叶波  李鉴  赵守华  杨龙海  刘向阳
作者单位:中国医学科学院中国协和医科大学肿瘤医院,胸外科,北京,100021
摘    要:目的 总结近8年原发性纵隔肿瘤的诊断、临床资料及病理学特征.方法 回顾性分析和研究从1999~2006年在经外科手术诊治的295例原发性纵隔肿瘤患者的临床资料.结果 所有的病人均经手术和病理检查证实,295例中神经源性肿瘤86例,占29.2%,主要位于后纵隔,平均年龄43.8岁,以神经鞘瘤为主;畸胎瘤61例占20.7%,主要位于前纵隔,平均年龄31.8岁,以成熟性囊性畸胎瘤为主;胸腺瘤31例占10.5%,全部位于前纵隔,平均年龄51.9岁;淋巴瘤29例占9.8%,主要位于前纵隔,平均年龄29.9岁,以非霍奇金淋巴瘤为主.结论 在原发性纵隔肿瘤中,本组发病率由高到低依次为神经源性肿瘤、畸胎瘤、胸腺瘤、淋巴瘤及巨大淋巴结增生;手术是主要的诊治方式;切口的正确选择对于手术的成功起到至关重要的作用.

关 键 词:纵隔肿瘤  外科学  诊断

Diagnosis and surgical treatment of primary mediastinal tumors:A report of 295 cases
YE Bo,LI Jian,ZHAO Shou-Hua,YANG Long-Hai,LIU Xiang-Yang.Diagnosis and surgical treatment of primary mediastinal tumors:A report of 295 cases[J].Chinese Journal of Medicine,2008,43(10).
Authors:YE Bo  LI Jian  ZHAO Shou-Hua  YANG Long-Hai  LIU Xiang-Yang
Institution:YE Bo,LI Jian,ZHAO Shou-Hua,YANG Long-Hai,LIU Xiang-Yang(Division of Thoracic Surgery,Cancer Hospital,Chinese Academy of Medical Science , Peking Union Medical college,Beijing 100021,China)
Abstract:Objective To review the experience of the diagnosis,clinical and pathological characteristics of patients with primary mediastinal tumors of our hospital in the past 8 years.Methods Two hundred and ninety-one operative patients with primary mediastinal tumors surgically treated in our department from 1999 to 2006 were studied and analyzed retrospectively Results All the patients were underwent operation and the diagnosis were confirmed by pathological examination.Of these 295 cases,there were 86(29.2%) neur...
Keywords:Mediastinal neoplasms  surgery  diagnosis  
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