Aribas Olgun Kadir, Gormus Niyazi, Kanat Fikret, Avunduk Mustafa Cihat
Department of Thoracic Surgery, School of Medicine, University of Selcuk, Konya, Turkey.
Surg Today. 2002;32(5):406-9. doi: 10.1007/s005950200063.
We report two cases, of 48- and 53-year-old women, with huge intrathoracic extrapulmonary tumors which originated from the diaphragm. In these cases the totally resected tumors were examined histologically and immunohistochemically, and based on these studies benign localized solitary fibrous tumors originating from the diaphragmatic pleura were diagnosed. We observed no recurrence in the long-term follow-up, which was necessary for these cases due to the tumors' unpredictable clinical behavior even when they were thought to be benign histologically. Because of the huge sizes of these tumors, originating from the diaphragmatic pleura with pedicles, and benign clinical outcome correlating with the histological examination, these cases are thought to be worthy of interest.
我们报告了两例分别为48岁和53岁女性的病例,她们患有起源于膈肌的巨大胸内肺外肿瘤。对这些病例中完全切除的肿瘤进行了组织学和免疫组织化学检查,并基于这些研究诊断为起源于膈胸膜的良性局限性孤立性纤维瘤。在长期随访中我们未观察到复发情况,鉴于这些肿瘤即使在组织学上被认为是良性的,其临床行为也难以预测,因此长期随访对这些病例来说是必要的。由于这些肿瘤体积巨大,起源于带蒂的膈胸膜,且临床结果为良性并与组织学检查相关,所以这些病例被认为值得关注。