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肾上腺孤立性纤维瘤及文献复习。

Solitary Fibrous Tumor of Adrenal Gland and Review of the Literature.

机构信息

University clinic for urology, Faculty of medicine, Ss. Cyril and Methodius University in Skopje, Skopje R. N. Macedonia.

Institute of Pathology, Faculty of medicine, Ss. Cyril and Methodius University in Skopje, Skopje, R. N. Macedonia.

出版信息

Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2021 Dec 30;42(3):63-69. doi: 10.2478/prilozi-2021-0036.

Abstract

Solitary fibrous tumor (SFT) is a rare and still controversial entity. This type of tumor first appeared in the literature as a pleural lesion, but, over the last decades, it has been reported in many extrathoracic sites. As a tumor of the adrenal gland, SFT is still rare and very uncommon, thus extensive research among the English language literature has been performed. We present here a case report of an adrenal SFT which is compared to 11 other known cases. Our case report is from a patient with SFT on the left adrenal gland, followed by mild symptoms of abdominal discomfort and hypertension. Physical examination, laboratory, and radiological tests were performed. The patient underwent surgery and the material was sent for histopathologic analysis for a definite diagnosis. Regular follow up appointments were performed over the course of two years. No recurrence of the tumor has been detected. We explain the symptoms, diagnosis, treatment, and additionally we describe the results and implications of the findings reported in the literature. Correct diagnosis is mandatory for optimal management of solitary fibrous tumor patients.

摘要

孤立性纤维瘤(SFT)是一种罕见且仍存在争议的疾病。这种肿瘤最初在文献中被描述为胸膜病变,但在过去几十年中,它已在许多胸外部位被报道。作为肾上腺的肿瘤,SFT 仍然很少见且非常罕见,因此在英语文献中进行了广泛的研究。我们在此报告一例左肾上腺 SFT 病例,并与其他 11 例已知病例进行比较。我们的病例报告来自一位左肾上腺 SFT 患者,随后出现轻度腹部不适和高血压的症状。进行了体格检查、实验室和影像学检查。患者接受了手术,并将标本送检进行组织病理学分析以明确诊断。在两年的时间里进行了定期随访。未发现肿瘤复发。我们解释了症状、诊断、治疗,并进一步描述了文献中报告的结果和影响。正确的诊断对于 SFT 患者的最佳管理至关重要。

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