Imai Yoshihito, Takemura Toshiki, Matsushita Masanori, Sugano Yasushi, Kuchide Masashi, Takimoto Kengo, Shiomi Hideyuki, Shiomi Yuki, Inokuchi Hideto
Department of Gastroenterological Center, Ijinkai Takeda General Hospital, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2007 Jan;104(1):57-63.
We present the case of a 67-year-old man with primary malignant fibrous histiocytoma (MFH) of the diaphragm. He was admitted to our hospital with anorexia and loss of body weight. High serum levels of AST, ALT, ALP and gamma-GTP were observed. Several imaging studies disclosed a large tumor on the right side of the diaphragm to the right lobe of the liver. The entire tumor was resected, and histopathological examination of the specimen revealed the characteristics of MFH. MFH originating from the diaphragm is very rare, and we present the case of this patient in addition to a discussion of previous literature.
我们报告一例67岁男性患有原发性膈肌恶性纤维组织细胞瘤(MFH)的病例。他因厌食和体重减轻入院。观察到血清AST、ALT、ALP和γ-GTP水平升高。多项影像学检查发现膈肌右侧至肝右叶有一个大肿瘤。整个肿瘤被切除,标本的组织病理学检查显示出MFH的特征。起源于膈肌的MFH非常罕见,我们除了讨论既往文献外,还展示了该患者的病例。