Respiratory Medicine, Mater Dei Hospital, Msida, Malta.
Pathology, Mater Dei Hospital, Msida, Malta.
BMJ Case Rep. 2022 Mar 24;15(3):e247582. doi: 10.1136/bcr-2021-247582.
We herein report a relatively rare case of a woman in her 30s with an incidental lung finding. She subsequently underwent resection for what was considered to be a solitary fibrous tumour of the pleura (SFTP). SFTPs are rare, slow-growing neoplasms from mesenchymal origin. These tumours are histologically characterised by proliferation of bland-looking spindled cells, arranged in a patternless pattern, with hypocellular and hypercellular areas set in a hyalinised stroma. Complete en bloc surgical excision (with margin negativity) is the treatment of choice for both benign and malignant SFTPs. Due to the possibility of local recurrence with benign and malignant SFTPs, clinical and radiological follow-up is recommended.
我们在此报告一例罕见的 30 多岁女性偶然发现肺部病变。随后，她因被认为是胸膜孤立性纤维瘤（SFTP）而行切除术。SFTP 是一种罕见的、生长缓慢的间叶来源肿瘤。这些肿瘤在组织学上表现为良性纺锤形细胞的弥漫性增生，排列呈无模式样，伴有细胞稀少区和细胞密集区，伴玻璃样变基质。完整的整块外科切除（切缘阴性）是良性和恶性 SFTP 的首选治疗方法。由于良性和恶性 SFTP 都有局部复发的可能，建议进行临床和影像学随访。
