胸膜孤立性纤维瘤：胸膜肿块的罕见病因。
Solitary Fibrous Tumor of the Pleura: A Rare Cause of Pleural Mass.
作者信息
Supakul Rodjawan, Sodhi Amik, Tamashiro Cecilia Yshii, Azmi Syed S, Kadaria Dipen
机构信息
Division of Pulmonary, Critical Care, and Sleep Medicine, University of Tennessee Health Science Center, College of Medicine at Memphis, Memphis, TN, USA.
Deparment of Oncology, Boston Baskin Cancer Foundation, Memphis, TN, USA.
出版信息
Am J Case Rep. 2015 Dec 3;16:854-7. doi: 10.12659/ajcr.895289.
BACKGROUND
A solitary fibrous tumor of the pleura is a rare but usually benign mesenchymal tumor arising from the pleura. Patients are often asymptomatic, resulting in the majority of tumors being detected incidentally on chest imaging. We present a case of a large solitary pleural tumor and review the typical radiographic and pathologic findings associated with this finding.
CASE REPORT
A 63-year-old white man with chronic obstructive pulmonary disease (COPD) was found to have a large pleural mass on chest radiography during a pre-operative assessment. The tumor was biopsied and findings were consistent with solitary fibrous tumor of the pleura.
CONCLUSIONS
SFTPs are generally considered benign tumors although there is a risk of malignant transformation and recurrence. Imaging studies play an important role in identifying the tumor and planes of resection, and histologic diagnosis is critical in differentiating SFTP from other type of pleural masses. Surgical resection is main therapy of choice.
背景
胸膜孤立性纤维瘤是一种罕见但通常为良性的间叶组织肿瘤，起源于胸膜。患者通常无症状，导致大多数肿瘤是在胸部影像学检查时偶然发现的。我们报告一例巨大的孤立性胸膜肿瘤病例，并回顾与此发现相关的典型影像学和病理表现。
病例报告
一名63岁患有慢性阻塞性肺疾病（COPD）的白人男性在术前评估的胸部X线检查中发现有一个巨大的胸膜肿块。对该肿瘤进行了活检，结果与胸膜孤立性纤维瘤一致。
结论
尽管胸膜孤立性纤维瘤有恶变和复发的风险，但通常被认为是良性肿瘤。影像学检查在识别肿瘤和切除平面方面起着重要作用，组织学诊断对于将胸膜孤立性纤维瘤与其他类型的胸膜肿块区分开来至关重要。手术切除是主要的治疗选择。
Zotero 插件