肠系膜孤立性纤维瘤：病例报告。
Solitary fibrous tumor arising in the mesentery: a case report.
机构信息
Department of Surgery, Maisonneuve-Rosemont Hospital, University of Montreal, Montréal, Qc, 5415, boul, l'Assomption, H1T 2M4, Montréal, Canada.
出版信息
World J Surg Oncol. 2011 Oct 31;9:140. doi: 10.1186/1477-7819-9-140.
BACKGROUND
Solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm usually found in the pleura, soft tissues and visceral organs. We describe one case arising in the mesentery, which is an exceptional localization.
CASE PRESENTATION
A 71-year-old man was referred to our establishment for a painless hypogastric mass. Further investigation revealed a vascular tumor, which was resected en bloc. Pathological findings confirmed solitary fibrous tumor of the mesentery.
CONCLUSION
This is the second case of solitary fibrous tumor of the small intestine mesentery ever reported. It was managed by en bloc resection and close follow up considering the high risk of recurrence. Investigation should be made regarding the use of adjuvant systemic therapy to improve long-term survival for these patients.
背景
孤立性纤维瘤（SFT）是一种罕见的间叶性肿瘤，通常发生在胸膜、软组织和内脏器官。我们描述了一例发生在肠系膜的病例，这是一种罕见的部位。
病例介绍
一名 71 岁男性因下腹部无痛性肿块就诊于我院。进一步检查显示为血管性肿瘤，行整块切除术。病理检查证实为肠系膜孤立性纤维瘤。
结论
这是首例报道的小肠肠系膜孤立性纤维瘤病例。考虑到复发的高风险，采用整块切除并密切随访的方式进行治疗。应研究辅助全身治疗的应用，以提高这些患者的长期生存率。
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