Kusumaningrum Dyan Wahyu, Hayati Fierly
Department of Radiology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Department of Radiology, Faculty of Medicine-UNIVERSITAS AIRLANGGA, Surabaya, Indonesia.
Radiol Case Rep. 2024 Oct 23;20(1):228-233. doi: 10.1016/j.radcr.2024.09.129. eCollection 2025 Jan.
Solitary fibrous tumor (SFT) is a rare mesenchymal tumor that affects most commonly in the sixth or seventh decade of life. They account for less than 2% of all soft tissue tumors. In the thoracic region, it primarily appears in the pleura and rarely in the intrapulmonary. SFT typically presents as well-defined, oval or round, hyperdense masses. We report male 66-year-old complaint of cough, intermittent shortness of breath, and a lump in the lower right chest which has gradually increased in size. From chest MSCT results, there were cavitating lesions with solid and cystic components. FNAB and core biopsy examinations were performed. To establish a definitive diagnosis, an open biopsy followed by immunohistochemical analysis was conducted, confirming the presence of a solitary fibrous tumor (SFT).
孤立性纤维瘤（SFT）是一种罕见的间叶组织肿瘤，最常见于60或70岁。它们占所有软组织肿瘤的比例不到2%。在胸部区域，它主要出现在胸膜，很少出现在肺内。SFT通常表现为边界清晰的椭圆形或圆形高密度肿块。我们报告一名66岁男性，主诉咳嗽、间歇性气短以及右下胸部有一个肿块，其大小逐渐增大。胸部MSCT结果显示有实性和囊性成分的空洞性病变。进行了细针穿刺抽吸活检（FNAB）和粗针活检检查。为明确诊断，进行了开放性活检并随后进行免疫组化分析，证实存在孤立性纤维瘤（SFT）。
