Jeong Jewon, Jin So-Young
J Korean Soc Radiol. 2023 Jan;84(1):304-310. doi: 10.3348/jksr.2022.0071. Epub 2023 Jan 30.
Solitary fibrous tumors (SFTs) commonly arise from the pleura and are mostly benign. However, they may develop anywhere in the body, and 10%-30% are malignant. Classically, SFTs appear as solitary enhancing masses, and bilateral presentation is extremely rare. In this case, an 88-year-old male presented with back pain and a history of chronic tuberculous empyema. Imaging studies revealed bilateral paravertebral masses with aggressive radiologic features, which were speculatively presumed as thoracic malignancies in association with chronic empyema. Herein, we report a unique case of bilateral paravertebral malignant SFTs that were accurately diagnosed with a CT-guided coaxial needle biopsy.
孤立性纤维瘤（SFTs）通常起源于胸膜，大多为良性。然而，它们可发生于身体的任何部位，10% - 30%为恶性。典型的SFTs表现为孤立性强化肿块，双侧出现极为罕见。在本病例中，一名88岁男性因背痛就诊，有慢性结核性脓胸病史。影像学检查显示双侧椎旁肿块，具有侵袭性放射学特征，推测为与慢性脓胸相关的胸部恶性肿瘤。在此，我们报告一例双侧椎旁恶性SFTs的独特病例，通过CT引导下同轴针穿刺活检得以准确诊断。
