Brochard C, Michalak S, Aubé C, Singeorzan C, Fournier H-D, Laccourreye L, Calès P, Boursier J
Service d'hepato-gastroentérologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 09, France.
Gastroenterol Clin Biol. 2010 Dec;34(12):716-20. doi: 10.1016/j.gcb.2010.08.004. Epub 2010 Sep 22.
Solitary fibrous tumor (SFT) is a rare neoplasm. Liver parenchyma is a rare location of SFT and, in this case, it usually follows a benign course. We report here the case of a 54-year-old man who presented a large SFT tumor of the right hepatic lobe. The tumor was surgically resected. Local recurrence occurred 6 years later as a 15 cm diameter liver tumor. Histological examination of the resected lesion showed features of an aggressive form of SFT. Two years later, the patient presented with complaints of neck pain and ensuing examinations revealed a tumor of the cranial base. A new surgical resection was performed and histological examination confirmed a metastasis of the SFT. Few weeks later, the patient presented an irreducible psoitis due to an iliac bone metastasis. He died within 1 month.
孤立性纤维瘤（SFT）是一种罕见的肿瘤。肝实质是SFT罕见的发病部位，在这种情况下，它通常呈良性病程。我们在此报告一例54岁男性患者，其右肝叶出现一个巨大的SFT肿瘤。该肿瘤通过手术切除。6年后，局部复发，出现一个直径15厘米的肝脏肿瘤。对切除病变的组织学检查显示为侵袭性SFT的特征。两年后，患者出现颈部疼痛，随后的检查发现颅底有一个肿瘤。再次进行手术切除，组织学检查证实为SFT转移。几周后，患者因髂骨转移出现不可复位的腰肌炎。他在1个月内死亡。
