Yasukawa Motoaki, Ohbayashi Chiho, Uchiyama Tomoko, Kawaguchi Takeshi, Kawai Norikazu, Tojo Takashi, Taniguchi Shigeki
Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, Kashihara, Nara, Japan.
Department of Diagnostic Pathology, Nara Medical University School of Medicine, Kashihara, Nara, Japan.
Oxf Med Case Reports. 2017 Jul 6;2017(7):omx037. doi: 10.1093/omcr/omx037. eCollection 2017 Jul.
A 42-year-old male patient presented in 2002 with a solitary fibrous tumor (SFT) arising from the visceral pleura of the right lung. Thoracic surgery was performed to remove the tumor. A second operation to remove a recurrent tumor on the parietal pleura of the right thorax was performed in 2010. A follow-up computed tomography (CT) scan revealed local recurrence in the chest wall. And then a third operation involving en bloc resection of chest wall was performed in 2012. Thereafter, a CT scan in 2015 revealed slow-growing local recurrence. In 2016, he was started on hemodialysis. Two months later he was hospitalized because of chest pain and dyspnea. Imaging showed bilateral massive pleural effusion and dissemination along with left pulmonary metastasis. We report a case of SFT recurrence, which rapidly worsened after induction of hemodialysis. Induction of hemodialysis is potentially challenging that may lead to be in a tumor-bearing condition.
一名42岁男性患者于2002年被诊断为右肺脏层胸膜出现孤立性纤维瘤（SFT）。遂行胸外科手术切除肿瘤。2010年再次手术切除右胸壁胸膜上的复发性肿瘤。随访计算机断层扫描（CT）显示胸壁局部复发。2012年进行了第三次手术，整块切除胸壁。此后，2015年的CT扫描显示局部复发缓慢生长。2016年，他开始接受血液透析。两个月后，他因胸痛和呼吸困难入院。影像学检查显示双侧大量胸腔积液及播散，并伴有左肺转移。我们报告一例SFT复发病例，该病例在开始血液透析后迅速恶化。血液透析的启动可能具有挑战性，可能导致处于肿瘤负荷状态。
