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原发性肺单相滑膜肉瘤:难以诊断。

Primary pulmonary monophasic synovial sarcoma: Evading diagnosis.

作者信息

Taylor Marcus, Srinivasan Lakshmi, Abid Qamar

机构信息

Department of Cardiothoracic Surgery, University Hospital of North Midlands, Stoke-On-Trent, UK

Department of Cardiothoracic Surgery, University Hospital of North Midlands, Stoke-On-Trent, UK.

出版信息

Asian Cardiovasc Thorac Ann. 2016 Feb;24(2):214-7. doi: 10.1177/0218492315619121. Epub 2015 Nov 26.

DOI:10.1177/0218492315619121
PMID:26612959
Abstract

Primary pulmonary synovial sarcoma is a very rare tumor, thus there is no consensus as to the most appropriate management. A 78-year-old man presented with nonspecific symptoms of weight loss and shortness of breath. Imaging confirmed a large right-sided mass and accompanying pleural effusion. Strong 18F-fluorodeoxyglucose uptake was found on positron-emission tomography. The preoperative work-up and intraoperative frozen section were inconclusive. Immunohistochemistry and molecular analysis confirmed the diagnosis of primary pulmonary monophasic synovial sarcoma.

摘要

原发性肺滑膜肉瘤是一种非常罕见的肿瘤,因此对于最合适的治疗方法尚无共识。一名78岁男性出现体重减轻和呼吸急促等非特异性症状。影像学检查证实右侧有一个大肿块并伴有胸腔积液。正电子发射断层扫描发现有强烈的18F-氟脱氧葡萄糖摄取。术前检查和术中冰冻切片检查结果不明确。免疫组织化学和分子分析确诊为原发性肺单相滑膜肉瘤。

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