Kim Mi Young, Jeon Seob, Choi Seung Do, Nam Kye Hyun, Sunwoo Jae Gun, Lee Ji-Hye
Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea.
Department of Obstetrics and Gynecology, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
Obstet Gynecol Sci. 2015 Jan;58(1):73-6. doi: 10.5468/ogs.2015.58.1.73. Epub 2015 Jan 16.
Solitary fibrous tumors (SFTs) are unique soft-tissue tumors of submesothelial origin. These tumors are mainly located in the pleural space but they can be originated within a variety of sites, including the abdomen, the pelvis, the soft tissues and the retroperitoneum. SFTs from all sites are usually benign, and the surgical resection is curative in almost all cases. According to the review of literatures, during the surgical resection, massive hemorrhage could occur due to the hypervascular nature of SFTs. This is a case report on SFT in the pelvis presenting great vessel injury, which resulted in life threatening hemorrhage during the resection of tumor. We wish this paper alerts gynecologists about the risk of massive bleeding during the resection of tumor located at adjacent to great vessels in the pelvis.
孤立性纤维瘤（SFTs）是起源于间皮下的独特软组织肿瘤。这些肿瘤主要位于胸腔，但也可起源于多种部位，包括腹部、骨盆、软组织和腹膜后。所有部位的SFTs通常为良性，几乎所有病例手术切除均可治愈。根据文献综述，在手术切除过程中，由于SFTs血管丰富，可能会发生大量出血。本文报告1例盆腔SFTs导致大血管损伤，在肿瘤切除过程中引起危及生命的出血。我们希望本文能提醒妇科医生注意盆腔中与大血管相邻部位肿瘤切除时大出血的风险。
