Saris S, Vavoulis G, Linder J, Friedman A
Neurosurgery. 1983 Sep;13(3):327-9. doi: 10.1227/00006123-198309000-00022.
A right parietal lobe metastasis of a fibrosarcoma originating in the left atrium of the heart was resected twice in a 33-year-old man. Light microscopy showed lightly packed, pleomorphic spindle cells with abundant collagen production and an alcian blue-positive matrix. Electron microscopy confirmed the fibroblastic character of these cells. Review of the literature reveals one other cardiac fibrosarcoma metastatic to the brain. The case presented is the first reported example of successful surgical resection of this unusual metastatic sarcoma. Although he succumbed to metastatic disease, the patient remained neurologically intact until the time of death.
一名33岁男性的右顶叶纤维肉瘤转移瘤源自心脏左心房，该转移瘤被切除了两次。光镜检查显示细胞排列稀疏、多形性梭形细胞，有大量胶原生成以及阿尔辛蓝阳性基质。电镜检查证实了这些细胞的成纤维细胞特征。文献回顾显示，另有1例心脏纤维肉瘤转移至脑部。本文报道的病例是首例成功手术切除这种罕见转移性肉瘤的案例。尽管患者最终死于转移性疾病，但直到去世时其神经功能仍保持完好。
