Magnetic Resonance Imaging Features of Spontaneously Regressed Thymoma Report of 2 Cases

被引:1
作者
Nakazono, Takahiko [1 ]
Yamaguchi, Ken [1 ]
Egashira, Ryoko [1 ]
Satoh, Toshimi [5 ]
Yamasaki, Fumio [2 ]
Mitsuoka, Masahiro [3 ]
Hayashi, Shinichiro [4 ]
Kudo, Sho [1 ]
机构
[1] Saga Univ, Dept Radiol, Fac Med, Saga 8498501, Japan
[2] Saga Univ, Dept Pathol, Fac Med, Saga 8498501, Japan
[3] Saga Univ, Dept Thorac & Cardiovasc Surg, Fac Med, Saga 8498501, Japan
[4] Saga Univ, Dept Pulm Med, Fac Med, Saga 8498501, Japan
[5] Japanese Red Cross Kumamoto Hosp, Dept Pathol, Kumamoto, Japan
关键词
thymoma; regression; magnetic resonance imaging;
D O I
10.1097/RTI.0b013e31818b6038
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The authors describe 2 cases in which thymoma. spontaneously regressed. The first patient was a 49-year-old woman with myasthenia gravis. A chest radiograph on admission showed an anterior mediastinal mass that spontaneously decreased in size as shown on a radiograph obtained 2 weeks later. Surgical removal of the mass was performed and the histopathologic examination showed a type B2 thymoma with marked coagulation necrosis in the central area. The second patient was a 46-year-old woman who was hospitalized due to chest and back pain. A chest radiograph on admission showed an anterior mediastinal mass and bilateral pleural effusion. The mass decreased in size and the effusion disappeared as shown on a chest radiograph obtained 2 months later. Computed tomography-guided biopsy was performed, and histopathologic examination revealed thymoma with marked necrosis. In both cases, dynamic contrast-enhanced magnetic resonance images showed peripheral ringlike enhancement of the mass. The clinical and radiologic features of spontaneously regressed thymoma may be different from those of common thymoma.
引用
收藏
页码:62 / 65
页数:4
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