Yabuki Hiroshi, Sakurada Akira, Niikawa Hiromichi, Notsuda Hirotsugu, Endo Chiaki, Matsuda Yasushi, Noda Masafumi, Saito Ryoko, Yamashita Shinichi, Arai Yoichi, Okada Yoshinori
Department of Thoracic Surgery, Tohoku University Hospital, Sendai, Japan.
Department of Thoracic Surgery, Tohoku University Hospital, Sendai, Japan.
Ann Thorac Surg. 2016 Dec;102(6):e551-e553. doi: 10.1016/j.athoracsur.2016.05.061.
In solitary fibrous tumors (SFTs) of the pleura, malignant SFTs are uncommon. Although SFTs are known to cause paraneoplastic syndromes through the production of insulin-like growth factor, to the best of our knowledge, the production of beta-human chorionic gonadotropin (β-hCG) has been reported only in 1 case involving a patient with a benign SFT. We herein report the first case of the elevation of β-hCG serum levels associated with a malignant SFT in which the β-hCG serum level became a useful indicator of recurrence after the complete resection of the primary mediastinal lesion.
在胸膜孤立性纤维瘤(SFTs)中,恶性SFTs并不常见。尽管已知SFTs可通过产生胰岛素样生长因子引起副肿瘤综合征,但据我们所知,仅在1例良性SFT患者中报道过β-人绒毛膜促性腺激素(β-hCG)的产生。我们在此报告首例与恶性SFT相关的β-hCG血清水平升高病例,其中β-hCG血清水平成为原发性纵隔病变完全切除后复发的有用指标。