Cheng Nai-Chen, Tang Yueh-Bih, Liang Cher-Wei, Chien Hsiung-Fei
Division of Plastic Surgery, Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan, ROC.
J Plast Reconstr Aesthet Surg. 2006;59(1):86-9. doi: 10.1016/j.bjps.2005.04.053.
Mostly occurring in pleura, solitary fibrous tumour is an unusual soft tissue neoplasm. Solitary Fibrous Tumour with abundant myxoid stroma represents a rare morphologic subtype of the already uncommon tumour. We report a myxoid solitary fibrous tumour of the soft tissue in a 42-year-old man. The patient presented with a large, movable, nontender mass at the right axilla. The MRI showed a well-defined tumour with increased signal after gadolinium injection. During surgery, the mass was found to be closely associated with the axillary vein. The tumour was completely excised. Pathological and immunohistochemical examinations identified the mass as a myxoid solitary fibrous tumour. The patient was free of tumour recurrence at 18-month follow-up. The rare tumour in an uncommon location makes the diagnosis difficult. Complete excision and long-term follow up are recommended.
孤立性纤维瘤主要发生于胸膜,是一种罕见的软组织肿瘤。具有丰富黏液样基质的孤立性纤维瘤是这种本就不常见肿瘤的一种罕见形态学亚型。我们报告一例42岁男性的软组织黏液样孤立性纤维瘤。患者右侧腋窝出现一个大的、可移动的、无压痛肿块。MRI显示肿瘤边界清晰,注射钆后信号增强。手术中发现肿块与腋静脉紧密相连。肿瘤被完整切除。病理和免疫组化检查确定肿块为黏液样孤立性纤维瘤。患者在18个月的随访中无肿瘤复发。这种罕见肿瘤发生于不常见的部位,诊断困难。建议完整切除并长期随访。