Hayama Makio, Maeda Hiroya
Department of Surgery, Mitoyo General Hospital, Kanonji, Japan.
Kyobu Geka. 2010 Jun;63(6):492-5.
A 35-year-old male was admitted to our hospital for further examination of abnormal shadow on chest X-ray. Contrast-enhanced chest computed tomography (CT) showed a clear-shaped tumor with homogenous enhancement, measuring 25 x 20 mm in size, which had enlarged, compared with chest CT of 2 years before. The tumor appeared to be based partially on the parietal pleura. Under the diagnosis of solitary fibrous tumor (SFT) originated from the visceral or parietal pleura, video-assisted thoracic surgery (VATS) was performed. Under thoracoscopy, the tumor was pedunculated and arose from the parietal pleura. The tumor was resected completely. The pathologic findings revealed proliferation of spindle cells and collagen fibers without malignant aspects. Immuno-histochemical findings showed positive immunostaining for CD34 and vimentin in the tumor cells. These findings confirmed that the tumor was SFT.
一名35岁男性因胸部X线检查发现异常阴影入院进一步检查。胸部增强计算机断层扫描(CT)显示一个边界清晰的肿瘤,强化均匀,大小为25×20mm,与两年前的胸部CT相比有所增大。肿瘤似乎部分起源于壁层胸膜。在诊断为起源于脏层或壁层胸膜的孤立性纤维瘤(SFT)后,进行了电视辅助胸腔镜手术(VATS)。在胸腔镜下,肿瘤有蒂,起源于壁层胸膜。肿瘤被完整切除。病理结果显示梭形细胞和胶原纤维增生,无恶性特征。免疫组织化学结果显示肿瘤细胞中CD34和波形蛋白免疫染色呈阳性。这些结果证实该肿瘤为SFT。