Papadopoulos Alexis, Porfyridis Ilias, Christodoulides Gregorios, Georgiou Andreas
Department of Respiratory Medicine, Nicosia General Hospital, Cyprus.
Department of Thoracic Surgery, Aretaeio Hospital, Nicosia, Cyprus.
Respir Med Case Rep. 2015 Jul 29;16:117-9. doi: 10.1016/j.rmcr.2015.07.006. eCollection 2015.
We present a case of a 58 years old man with a large heterogeneous and well circumscribed soft tissue mass arising from the right pleural surface, found at a computer tomography of his chest. This mass after complete resection through a right lateral open thoracotomy, proved to be a Solitary Fibrous Tumor, previously known as 'benign mesothelioma'. This tumor is usually discovered at routine chest X-rays since patients are either asymptomatic or report atypical symptoms. Only 10-20% of the published cases report a malignant solitary fibrous tumor, however, definite diagnosis can only be made after complete resection which is the proposed diagnostic algorithm for these cases.
我们报告一例58岁男性患者，其胸部计算机断层扫描发现右胸膜表面有一个边界清晰的巨大异质性软组织肿块。通过右侧开胸手术完整切除该肿块后，病理证实为孤立性纤维瘤，以前称为“良性间皮瘤”。该肿瘤通常在常规胸部X线检查时被发现，因为患者要么无症状，要么报告非典型症状。在已发表的病例中，只有10%-20%报告为恶性孤立性纤维瘤，然而，明确诊断只能在完整切除后做出，这是这些病例建议的诊断方法。
