Kodama H, Anzai T, Kato M, Kawabe M, Ohtani Y, Ito H, Joshita T
2nd Dept of Surgery, School of Med., Gunma Univ.
Gan No Rinsho. 1988 May;34(6):799-802.
A malignant fibrous histiocytoma (MFH) is the most common soft tissue sarcoma found in adults, but a primary MFH of the lung is very rare. A chest X-ray taken of a 73-year-old man revealed a massive lesion in the right upper lobe, and a subsequent right upper lobe lobectomy uncovered a soft, light yellow tumor in the right S3 area, measuring 2.8 x 2.6 x 1.7 cm. Histologically, the tumor manifested a typical storiform pattern of spindle-sharp cells with no sign of a myosarcoma. As no abnormal lesion was detected in the abdomen and extremities, the tumor was diagnosed as a primary MFH of the lung.
恶性纤维组织细胞瘤(MFH)是成人中最常见的软组织肉瘤,但原发性肺MFH非常罕见。一名73岁男性的胸部X光片显示右上叶有一个巨大病变,随后的右上叶肺叶切除术发现右S3区有一个柔软的淡黄色肿瘤,大小为2.8×2.6×1.7厘米。组织学上,肿瘤表现为典型的梭形细胞束状排列模式,无肌肉瘤迹象。由于在腹部和四肢未检测到异常病变,该肿瘤被诊断为原发性肺MFH。