Shinohara M, Kohda E, Kobayashi S, Uemura T, Mukai M, Kobayashi K
Department of Radiology, Keio University School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. 2000 Jul;60(8):428-33.
We present two cases of malignant solitary fibrous tumor of the pleura (MSFT-P) and review 29 reported cases of MSFT-P. In examining the clinical and morphological features and prognosis of MSFT-P, we found that over 90% of the patients had some symptoms and one-third showed local recurrence. Chest radiographs and CT demonstrated large broad-based masses with necrosis, hemorrhage, and pleural effusion. The maximum diameter of the tumors was greater than 10 cm. Pleural effusion was seen in more than 70% of the patients, but there was only one case of pleural dissemination. All of the cases were well demarcated, and this was the most reliable finding for differentiating MSFT-P and malignant mesothelioma.
我们报告了两例胸膜恶性孤立性纤维瘤（MSFT-P），并回顾了29例已报道的MSFT-P病例。在研究MSFT-P的临床、形态学特征及预后时，我们发现超过90%的患者有一些症状，三分之一的患者出现局部复发。胸部X线片和CT显示有带坏死、出血及胸腔积液的宽基底大肿块。肿瘤最大直径大于10 cm。超过70%的患者可见胸腔积液，但仅有1例发生胸膜播散。所有病例界限均清晰，这是鉴别MSFT-P和恶性间皮瘤最可靠的表现。
