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临床资料患者,男,25岁。因咳嗽1个月入院。胸部CT示右前上纵隔有占位病变,大小约10 cm×6 cm×6 cm,边缘整齐,其内密度不均(图1),诊断为纵隔恶性肿瘤。在全身麻醉下经胸骨正中切口径路行纵隔肿瘤切除术。术中见肿瘤位于前上纵隔偏右,大小约15 cm×12 cm×12 cm,瘤体内可见部分坏死液化区。肿瘤侵及右肺中叶和心包,与上腔静
Clinical data patients, male, 25 years old. 1 month due to cough hospitalization. Chest CT showed the right anterior mediastinal space-occupying lesions, the size of about 10 cm × 6 cm × 6 cm, the edge of the neat, the density is uneven (Figure 1), the diagnosis of mediastinal malignancies. Under general anesthesia through the sternotomy incision approach to mediastinal tumor resection. Surgery, see the tumor located in the anterior superior mediastinum to the right, the size of about 15 cm × 12 cm × 12 cm, the tumor showed some necrosis liquefaction area. Tumor invasion of the right middle lobe and pericardium, and superior vena cava