Tomita Yuri, Nonaka Makoto, Ohshima Yutaka, Himuro Naoya, Kataoka Daisuke, Kamio Yoshito, Kunimura Toshiaki, Kadokura Mitsutaka
Division of Chest Surgery, Department of Surgery, Showa University School of Medicine, Tokyo, Japan.
Kyobu Geka. 2014 Feb;67(2):139-41.
Desmoid tumor is a soft-tissue tumor of unknown cause. Since recurrence sometimes occurs even with complete resection, careful consideration of which portions to resect and close postoperative followup are recommended. Seventeen months after undergoing a right upper lobectomy for primary lung adenocarcinoma, a 65-year-old female patient experienced pleural tumor which located at the previous thoracotomy site, as revealed by chest X-ray and computed tomography (CT). While needle aspiration biopsy revealed no malignancy, recurrence of the cancer could not be ruled out clinically. The tumor was resected with chest wall and lung and the histopathological diagnosis was desmoid tumor. This case demonstrates the importance of conducting differential diagnosis with recurrence or desmoid tumor after operation to treat lung cancer. Five years after resection of the desmoid tumor, no recurrence is observed.
硬纤维瘤是一种病因不明的软组织肿瘤。由于即使完全切除后有时仍会复发,因此建议仔细考虑切除哪些部位并进行密切的术后随访。一名65岁女性患者因原发性肺腺癌接受右上叶切除术后17个月,胸部X线和计算机断层扫描(CT)显示在先前开胸手术部位出现胸膜肿瘤。虽然针吸活检未发现恶性肿瘤,但临床上不能排除癌症复发。该肿瘤连同胸壁和肺一并切除,组织病理学诊断为硬纤维瘤。本病例表明,对肺癌术后复发或硬纤维瘤进行鉴别诊断非常重要。硬纤维瘤切除术后五年,未观察到复发。