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复发性胸椎孤立性纤维瘤。病例报告及文献复习。

Recurrent solitary fibrous tumour of the thoracic spine. A case-report and literature review.

机构信息

Paris Diderot Paris 7 University, Department of Orthopaedic and Trauma Surgery, Beaujon Hospital, 100, boulevard du Général-Leclerc, 92110 Clichy, France.

出版信息

Orthop Traumatol Surg Res. 2012 Nov;98(7):850-3. doi: 10.1016/j.otsr.2012.05.015. Epub 2012 Oct 23.

Abstract

Solitary fibrous tumours (SFTs) are rare tumours originating in the soft tissues. SFT development in the spine is an exceedingly rare event about which little is known. We describe a case of SFT of the thoracic spine in a 56-year-old woman. She presented with neurological deficits that required emergency resection, which was incomplete. Two subsequent local recurrences prompted further surgical procedures. At last follow-up, 12 months after the last procedure, function was satisfactory and there was no evidence of tumour recurrence. The management of SFTs is not well standardised, and no proven adjuvant treatments are available to date. Complete excision is effective in controlling disease progression. Prolonged follow-up is mandatory.

摘要

孤立性纤维瘤(SFT)是一种罕见的起源于软组织的肿瘤。SFT 在脊柱中的发展是一种极为罕见的事件,目前知之甚少。我们描述了一例 56 岁女性胸椎 SFT 病例。她因需要紧急切除而出现神经功能缺损,但手术不完全。随后两次局部复发促使进一步手术。最后一次手术后 12 个月的随访时,功能满意,无肿瘤复发迹象。SFT 的治疗尚未标准化,目前尚无有效的辅助治疗方法。完全切除是控制疾病进展的有效方法。必须进行长期随访。

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