Department of Oncology, Immunology, and Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
Surg Today. 2012 Apr;42(4):395-7. doi: 10.1007/s00595-011-0082-8. Epub 2011 Dec 14.
We report the case of solitary fibrous tumor of the pleura, which appeared to change its location. A computed tomography (CT) scan done at a previous hospital showed a tumor in the posterior mediastinum, suggesting that it was neurogenic. However, on the initial preoperative CT scan, the tumor seemed to have moved anteriorly, but when contrast material was injected; the tumor appeared in its original position. Video-assisted thoracoscopic surgery (VATS) revealed a pedunculated and free-moving tumor, originating from the visceral pleura. We diagnosed this unusual migrating tumor as a pedunculated solitary fibrous tumor of the pleura.
我们报告了一例胸膜孤立性纤维瘤的病例，该肿瘤似乎改变了其位置。之前在另一家医院进行的计算机断层扫描（CT）显示后纵隔有一个肿瘤，提示其为神经源性。然而，在最初的术前 CT 扫描中，肿瘤似乎向前移动，但当注入造影剂时，肿瘤又回到了原来的位置。电视辅助胸腔镜手术（VATS）显示一个有蒂且可移动的肿瘤，起源于脏层胸膜。我们将这个不寻常的迁移性肿瘤诊断为有蒂的胸膜孤立性纤维瘤。
