Kita Yusuke
Department of Thoracic Surgery, Haibara General Hospital, Makinohara, Japan.
Kyobu Geka. 2012 Apr;65(4):338-40.
We report a case of solitary fibrous tumor (SFT) from diaphragmatic pleura. A 71-year-old female was admitted to our hospital because of an abnormal shadow on chest X-ray. A preoperative imaging study revealed a mass on her right diaphragm. At thoracoscopic exploration, the tumor was found to originate from diaphragm and was suspected of liver invasion. The conversion to open thoracotomy was introduced to perform appropriate surgical procedure. Pathological examination revealed proliferation of spindle cells and collagen fibers. Immuno-histochemical findings showed positive immunostaining for cell differentiation (CD) 34 and vimentin. The tumor was diagnosed as SFT with malignant potential.
我们报告一例来自膈胸膜的孤立性纤维瘤（SFT）。一名71岁女性因胸部X光检查发现异常阴影而入住我院。术前影像学检查显示其右膈有一肿块。在胸腔镜探查时，发现肿瘤起源于膈肌，怀疑侵犯肝脏。遂转为开胸手术以进行适当的外科手术。病理检查显示梭形细胞和胶原纤维增生。免疫组织化学结果显示细胞分化（CD）34和波形蛋白免疫染色呈阳性。该肿瘤被诊断为具有恶性潜能的SFT。
