用类固醇和放射疗法成功治疗 B2 型胸腺瘤。

IF 0.8 Q4 RESPIRATORY SYSTEM

Respirology Case Reports Pub Date : 2024-08-13 eCollection Date: 2024-08-01 DOI:10.1002/rcr2.70006

Miho Fujiwara, Hiromi Watanabe, Yuki Takigawa, Mayu Goda, Keisuke Shiraha, Tomoyoshi Inoue, Suzuka Matsuoka, Kenichiro Kudo, Akiko Sato, Ken Sato, Keiichi Fujiwara, Takuo Shibayama

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引用次数: 0

摘要

我院收治了一名腿部水肿、用力时呼吸困难的 86 岁妇女。胸部计算机断层扫描（CT）显示前纵隔有肿块，并侵犯心包。通过支气管内超声引导下经支气管针吸术（EBUS-TBNA）进行组织学检查，诊断为正冈IVa期B2型胸腺瘤。为了缓解病情，患者接受了放射治疗（32 Gy/16 次）和泼尼松龙（30 mg/天），并逐渐减少剂量。治疗后，心包积液和肿瘤大小均有所减少。类固醇和放疗联合疗法可能对治疗胸腺瘤有效。

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Successful treatment of type B2 thymoma with steroid and radiotherapy.

An 86-year-old woman with leg edema and dyspnea on exertion was admitted to our hospital. Chest computed tomography (CT) revealed a mass in the anterior mediastinum with pericardial invasion. Histological examination with endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) led to the diagnosis of Masaoka stage IVa type B2 thymoma. For palliation, radiotherapy (32 Gy/16 fractions) and prednisolone (30 mg/day) were administered and tapered. After treatment, both the pericardial effusion and tumour size decreased. Combination therapy with steroids and radiotherapy may be effective for treating thymomas.

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来源期刊

Respirology Case Reports RESPIRATORY SYSTEM-

CiteScore

1.40

自引率

0.00%

发文量

178

审稿时长

8 weeks

期刊介绍： Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.