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胸膜孤立性纤维瘤:一项强调肺功能变化的临床病理特征分析

Solitary fibrous tumors of the pleura: a clinical-pathological characterization emphasizing changes in lung function.

作者信息

Mendez-Sanchez Heron, Mendez-Vivas Wilbert, Vargas-Mendoza Gary Kosai, Vazquez-Lopez Saul, Williams-Jacquez Angela Dayana, Cortes-Telles Arturo

机构信息

Hospital Regional de Alta Especialidad de la Península de Yucatán, Yucatán, México.

出版信息

Adv Respir Med. 2019;87(4):247-251. doi: 10.5603/ARM.a2019.0042.

Abstract

Solitary fibrous tumors of the pleura (SFTP) represent less than 5% of all pleural tumors with a higher susceptibility for men in the sixth and seventh decades of life. Imaging and histopathological analyses indicate that these tumors have an unpredictable clinical course since larger tumors are often associated with malignancy; however, this assumption is not universal. In addition, there are no systematic descriptions of lung function in either the basal or post-surgical scenarios of SFTP patients. We describe a series of 3 patients between 4th and 5th decade of life with a benign histopathological SFTP without local recurrence in their follow-up. We also analyzed changes in lung function, emphasizing possible associations with clinical recovery.

摘要

胸膜孤立性纤维瘤(SFTP)占所有胸膜肿瘤的比例不到5%,在60和70岁的男性中更易发病。影像学和组织病理学分析表明,这些肿瘤的临床病程不可预测,因为较大的肿瘤往往与恶性肿瘤相关;然而,这一假设并不普遍。此外,对于SFTP患者的基础或术后肺功能情况,均没有系统的描述。我们描述了3例年龄在40到50岁之间的患者,他们的组织病理学检查显示为良性SFTP,随访期间无局部复发。我们还分析了肺功能的变化,重点关注其与临床恢复的可能关联。

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