Department of Surgery, Nara Prefectural Nara Hospital, 1-30-1 Hiramatsu, Nara 631-0846, Japan.
Int J Clin Oncol. 2009 Dec;14(6):555-9. doi: 10.1007/s10147-009-0891-6. Epub 2009 Dec 5.
Solitary fibrous tumors (SFTs) are uncommon neoplasms of mesenchymal origin that usually arise from the pleura. SFTs of the abdominal wall are extremely rare, and only 12 cases have been reported in the English language literature. This report presents a new case of SFT of the abdominal wall in a 74-year-old female. Positron emission tomography demonstrated the heterogeneous 18F-fluorodeoxyglucose uptake of the tumor (the maximum standardized uptake value was 2.8). Histologically, the mitotic count was 1 to 2/10 high-power fields. The patient is alive without recurrence at 10 months after undergoing a surgical excision. We discuss the clinicopathological features and differential diagnosis and present a review of the pertinent literature.
孤立性纤维瘤(SFT)是一种罕见的间叶源性肿瘤,通常起源于胸膜。腹壁 SFT 极为罕见,英文文献中仅报道了 12 例。本报告介绍了一例新的 74 岁女性腹壁 SFT 病例。正电子发射断层扫描显示肿瘤的氟脱氧葡萄糖摄取呈异质性(最大标准化摄取值为 2.8)。组织学上,有丝分裂计数为 1 至 2/10 高倍视野。患者在接受手术切除后 10 个月无复发,仍存活。我们讨论了其临床病理特征和鉴别诊断,并复习了相关文献。