Yokota Ryo, Matsutani Takeshi, Mishima Keisuke, Yamagiwa Ryo, Kubokura Hirotoshi, Motoda Norio, Taniai Nobuhiko, Yoshida Hiroshi
Department of Digestive Surgery, Nippon Medical School Musashikosugi Hospital, 1-383, Kosugimachi Nakahara-Ku, Kawasaki-Shi, Kanagawa, 211-8533, Japan.
Department of Thoracic Surgery, Nippon Medical School Musashikosugi Hospital, Kanagawa, Japan.
Surg Case Rep. 2024 Aug 1;10(1):182. doi: 10.1186/s40792-024-01981-z.
Calcifying fibrous tumor (CFT) arising from the pleura is a relatively rare benign lesion in young and middle-aged adults. We report a 31-year-old woman with pleural CFT who underwent successful complete thoracoscopic enucleation.
An asymptomatic woman presented with a mass in the right lower lung field that was incidentally detected on a chest X-ray during a routine medical checkup. Chest computed tomography showed a well-defined mass in the lower mediastinum, with a maximum diameter of approximately 5.5 cm. Esophagogastroduodenoscopy showed no abnormal findings in the esophagus. An endoscopic ultrasonography (EUS) revealed a well-defined tumor with no internal blood flow. EUS-fine needle aspiration failed to establish a definitive diagnosis. Therefore, thoracoscopic tumor enucleation was performed for diagnostic and therapeutic purposes. Based on the histopathological findings of the resected specimen, the presence of a tumor with a high fibrous component in a young woman, and the identification of granulomatous calcifications, a diagnosis of CFT was established.
Complete thoracoscopic tumor enucleation was successfully performed for CFT arising from the pleura in a young adult woman.
起源于胸膜的钙化性纤维性肿瘤（CFT）在中青年中是一种相对罕见的良性病变。我们报告一名31岁患有胸膜CFT的女性，她成功接受了完全胸腔镜下肿瘤摘除术。
一名无症状女性在常规体检的胸部X光检查中偶然发现右下肺野有一个肿块。胸部计算机断层扫描显示下纵隔有一个边界清晰的肿块，最大直径约5.5厘米。食管胃十二指肠镜检查显示食管无异常发现。内镜超声检查（EUS）显示一个边界清晰的肿瘤，内部无血流信号。EUS细针穿刺未能明确诊断。因此，为了诊断和治疗目的进行了胸腔镜肿瘤摘除术。根据切除标本的组织病理学检查结果、年轻女性中存在高纤维成分的肿瘤以及肉芽肿性钙化的鉴定，确诊为CFT。
一名年轻成年女性起源于胸膜的CFT成功地接受了完全胸腔镜下肿瘤摘除术。
