Löhlein D W, Dragojevic D, Oelert H
Thoraxchir Vask Chir. 1976 Jun;24(3):147-53. doi: 10.1055/s-0028-1095898.
Two cases of primary fibrosarcoma of the lung are reported. The different clinical findings as well as the different courses in both patients reveal problems in diagnosis and treatment of this rare pulmonary lesion. The diagnostic aspects are given and discussed with regards to bronchial carcinoma. It is believed that lobectomy is the rational treatment of primary fibrosarcoma although pneumonectomy must be considered in the indifferentiated typ. The doubtful prognosis requires an exact postoperative follow up in order to have the change of early surgical treatment or irradiation if metastasis or recurrence of the tumor occurs.
报告了两例原发性肺纤维肉瘤病例。两名患者不同的临床表现以及不同的病程揭示了这种罕见肺部病变在诊断和治疗方面的问题。给出了诊断方面的情况,并与支气管癌相关进行了讨论。尽管对于未分化型必须考虑全肺切除术,但认为肺叶切除术是原发性纤维肉瘤的合理治疗方法。预后不确定需要进行精确的术后随访,以便在肿瘤发生转移或复发时有机会进行早期手术治疗或放疗。