Ohno Natsumi, Yamada Eiji, Muro Masahiko
Department of Thoracic Surgery, Fukuyama City Hospital, Fukuyama, Japan.
Kyobu Geka. 2017 Sep;70(10):875-878.
Intrapulmonary solitary fibrous tumor (SFT) arising from the parenchyma of the lung is very rare. Few limited surgery have been performed because preoperative and intraoperative diagnosises of SFT are so difficult. We here report a case of intrapulmonary SFT which was able to be resected by segmentectomy by preoperative diagnosis. A 77-year-old man, who was found to have an abnormal nodule in right lower lobe on computed tomography (CT), was admitted to our hospital. Fluorodeoxyglucose-positron emission tomography (PET) showed a slight uptake in the nodule. By CT guided needle biopsy, the nodule was diagnosed as intrapulmonary SFT pathologically. We could choose segmentectomy as a surgical procedure by preoperative diagnosis.
起源于肺实质的肺内孤立性纤维瘤（SFT）非常罕见。由于SFT的术前和术中诊断非常困难，很少进行有限的手术。我们在此报告一例肺内SFT病例，该病例通过术前诊断能够行肺段切除术。一名77岁男性，计算机断层扫描（CT）发现右下叶有异常结节，入住我院。氟脱氧葡萄糖正电子发射断层扫描（PET）显示结节有轻微摄取。通过CT引导下针吸活检，病理诊断该结节为肺内SFT。通过术前诊断，我们能够选择肺段切除术作为手术方式。
