Matsunaga Kyosuke, Takanashi Yusuke, Tajima Shogo, Hayakawa Takamitsu, Neyatani Hiroshi
Departments of Thoracic Surgery and Pathology, Fujieda Municipal General Hospital, Fujieda, Japan.
Kyobu Geka. 2017 Jun;70(6):474-476.
We report a case of solitary fibrous tumor (SFT) originating from the visceral pleura, which presented an extrapleural sign on chest computed tomography (CT) and magnetic resonance imaging (MRI). A 44-year-old woman presented at our hospital for a growing mass visible in chest X-rays. Chest CT and MRI detected a 27×12 mm lesion on the intrathoracic side of the right 3rd intercostal space. The extrapleural signs strongly suggested the tumor to be chest wall origin. However, the tumor was found to be pedunculate with an umbrella-like appearance locating on the visceral pleura of the lung. Histopathological examination demonstrated SFT originating from the visceral pleura.
我们报告一例起源于脏层胸膜的孤立性纤维瘤(SFT),其在胸部计算机断层扫描(CT)和磁共振成像(MRI)上表现出胸膜外征象。一名44岁女性因胸部X线可见肿块增大而到我院就诊。胸部CT和MRI在右侧第3肋间间隙的胸内侧发现一个27×12mm的病变。胸膜外征象强烈提示肿瘤起源于胸壁。然而,发现肿瘤有蒂,呈伞状位于肺的脏层胸膜上。组织病理学检查证实为起源于脏层胸膜的SFT。