Kovacs Tamas, Waxman Jonathan
Florida Atlantic University, Charles E. Schmidt College of Medicine, Department of Surgery, Boca Raton Regional Hospital, Boca Raton, FL, USA.
Respir Med Case Rep. 2019 Jul 2;28:100895. doi: 10.1016/j.rmcr.2019.100895. eCollection 2019.
Most recurrences of solitary fibrous tumor of the pleura (SFTP) occur within 2 years. Here we report a rare case of bilateral recurrence in a 61 year old female, 17 years after the original surgery for a right sided malignant SFTP. On repeat CT scan a 10 cm right mass and two small left lower lobe nodules were found. Patient underwent staged reoperations. She was also found to have a secondary smaller right tumor intraoperatively. All four tumors were confirmed to be recurrent SFTP on pathologic examination with identical immunohistochemistry to the original tumor.
大多数胸膜孤立性纤维瘤（SFTP）复发发生在2年内。在此，我们报告一例罕见的双侧复发病例，患者为61岁女性，在右侧恶性SFTP初次手术后17年出现复发。复查CT扫描发现右肺有一个10 cm肿物，左肺下叶有两个小结节。患者接受了分期再次手术。术中还发现她右侧有一个较小的继发性肿瘤。经病理检查，所有四个肿瘤均确诊为复发性SFTP，免疫组化结果与原发肿瘤相同。
