基础医学与临床 ›› 2019, Vol. 39 ›› Issue (10): 1488-1490.
• 疑难病例 • 上一篇 下一篇
朱园园1,郭立琳2,3,倪超2,田庄4,卢朝辉2,周炜洵2,吴焕文4
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摘要： 报告一例以心包填塞为首发表现的成年纵隔非精原生殖细胞肿瘤患者的临床资料。患者临床表现为胸痛、咯血和晕厥；影像学提示前纵隔巨大占位，压迫主肺动脉，并侵犯心包，伴大量心包积液；血清甲胎蛋白（AFP）28056 ng/mL,人绒毛膜促性腺激素β（βHCG）792 IU/L,乳酸脱氢酶（LDH）586 U/L，均升高；经过手术切除肿物，术后病理确诊为纵隔非精原生殖细胞肿瘤，侵犯心包。
关键词: 生殖细胞肿瘤, 纵隔, 心包填塞
Abstract: The clinical data of a case with extragonadal nonseminomatous germ cell tumor with pericardial tamponade as initial presentation was reported. Chest pain, hemoptysis and syncope were the main clinical feature of the patient. Imaging revealed a large pericardial effusion with underlying mass invading the pericardium. Pathology after surgery indicated nonseminomatous germ cell tumor.
Key words: Germ cell tumor, Mediastinum, Pericardial effusion
朱园园 郭立琳 倪超 田庄 卢朝辉 周炜洵 吴焕文. 致心包填塞的纵隔非精原生殖细胞肿瘤一例报告[J]. 基础医学与临床, 2019, 39(10): 1488-1490.
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链接本文: https://journal11.magtechjournal.com/Jwk_jcyxylc/CN/
https://journal11.magtechjournal.com/Jwk_jcyxylc/CN/Y2019/V39/I10/1488
