原发于纵隔的男性绒癌1例并文献复习

发布时间：2018-06-16 04:49

本文选题：原发性绒癌 + 纵隔　；参考：《中南大学学报(医学版)》2017年10期

【摘要】：男性原发性纵隔绒癌并不多见,无特异性临床表现,体格检查可发现男性乳腺女性化、睾丸缩小,血清人绒毛膜促性腺激素常显著升高,肺部CT主要表现为纵隔巨大肿块伴双肺多发转移灶,确诊需依靠病理活检,目前的治疗方法包括化学治疗、放射治疗、手术治疗在内的综合治疗。中南大学湘雅二医院收治1例原发于纵隔的男性绒癌患者,以"咳嗽、咯血"就诊,经多次穿刺活检确诊。本病预后差,定期全面体检、早期发现及诊断对于改善疾病的预后有重要的作用。
[Abstract]:Male primary mediastinal choriocarcinoma is rare and has no specific clinical manifestation. Physical examination shows that the male breast is feminized, the testis shrink, and the serum human chorionic gonadotropin (HHCG) is often significantly increased. Ct features of the lung include massive mediastinal mass with multiple metastatic foci of both lungs. The diagnosis depends on pathological biopsy. The current treatment methods include chemotherapy, radiotherapy and surgical treatment. A case of male choriocarcinoma in the mediastinum was treated in Xiangya No.2 Hospital of Central South University. It was diagnosed by multiple puncture biopsies with "cough, hemoptysis". The prognosis of the disease is poor, regular physical examination, early detection and diagnosis are important to improve the prognosis of the disease.
【作者单位】：中南大学湘雅二医院呼吸内科;
【基金】：国家自然科学基金(30800503,81170036,81370164) 湖南省自然科学基金(2015JJ4087)~~
【分类号】：R737.2

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