Yamashita Shinichi, Tochigi Tatsuo, Kawamura Sadafumi, Aoki Hiroshi, Tateno Hiroo, Kuwahara Masaaki
Department of Urology, Miyagi Cancer Center.
Hinyokika Kiyo. 2007 Jul;53(7):477-80.
Solitary fibrous tumor (SFT) of the retroperitoneal space is rare. We report a case of retroperitoneal tumor, diagnosed as SFT. A 69-year-old woman presented with right lower abdominal swelling, and was referred to our hospital with suspicion of right renal tumor. Abdominal ultrasound and computerized tomography (CT) showed a mass (about 15 x 14 x 10 cm) in the right abdomen. The tumor was thought to be right renal rumor, and right radical nephrectomy was performed. In the excised specimen the tumor was not connected to gastrointestinal tract, peritoneum, or right kidney. The histological and immunohistochemical examination of the specimen revealed SFT. The tumor has malignant potential with partially increased mitotic activity and cellularity in the histological examination. The patient is healthy and without evidence of recurrence or metastasis 26 months from surgery.
腹膜后间隙孤立性纤维瘤(SFT)较为罕见。我们报告一例腹膜后肿瘤,诊断为SFT。一名69岁女性因右下腹部肿胀就诊,因怀疑右肾肿瘤转诊至我院。腹部超声和计算机断层扫描(CT)显示右腹部有一肿块(约15×14×10cm)。该肿瘤被认为是右肾肿瘤,遂行右根治性肾切除术。在切除标本中,肿瘤与胃肠道、腹膜或右肾均无连接。对标本进行组织学和免疫组化检查显示为SFT。组织学检查发现该肿瘤具有恶性潜能,有部分有丝分裂活性增加和细胞增多。患者术后26个月健康,无复发或转移迹象。