Department of General Thoracic Surgery, Catholic University, Rome, Italy.
Eur J Cardiothorac Surg. 2011 Apr;39(4):595-7. doi: 10.1016/j.ejcts.2010.07.031.
Solitary fibrous tumor (SFT) of the esophagus has been very rarely reported in literature. Herein, we report a case of a successful surgically treated malignant solitary fibrous tumor of the esophagus. A 36-year-old woman was admitted at our hospital with an erroneous ultrasound-based diagnosis of cervico-mediastinal goiter. Surprisingly, the preoperative diagnostic work-up, including a computed tomographic chest scan, endoscopy, and endoscopic ultrasonography, revealed a pedunculated intraluminal mass in the esophagus. The tumor was radically removed through left antero-lateral cervicotomy. Pathologic and immunohistochemical examination was concluded for a malignant SFT, a rare variant not previously described in relation to the esophagus. The patient underwent adjuvant radiotherapy and is alive with no signs of tumor recurrence 32 months after surgery.
食管孤立性纤维瘤（SFT）在文献中极为罕见。本文报告了一例成功手术治疗的食管恶性孤立性纤维瘤。一名 36 岁女性因基于超声的颈纵隔甲状腺肿错误诊断而被收入我院。令人惊讶的是，术前诊断工作，包括胸部计算机断层扫描、内镜和内镜超声检查，均显示食管腔内有一带蒂的腔内肿块。该肿瘤通过左前外侧颈侧切开术被根治性切除。病理和免疫组织化学检查结果为恶性 SFT，这是一种以前与食管无关的罕见变异型。患者接受了辅助放疗，术后 32 个月无肿瘤复发迹象，仍存活。
