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原发性胸膜恶性孤立性纤维瘤切除术后17年复发——1例报告

Recurrence of a malignant solitary fibrous tumor of the pleura 17 years after primary tumor resection - A case report.

作者信息

Kovacs Tamas, Waxman Jonathan

机构信息

Florida Atlantic University, Charles E. Schmidt College of Medicine, Department of Surgery, Boca Raton Regional Hospital, Boca Raton, FL, USA.

出版信息

Respir Med Case Rep. 2019 Jul 2;28:100895. doi: 10.1016/j.rmcr.2019.100895. eCollection 2019.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c32/6624449/b3c080cc0034/gr1.jpg

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