Dubost C, Charbonnier J Y, Assens P, Garin B, Jeunehomme G, Lavergne A, Abelanet R, Le Charpentier Y
J Chir (Paris). 1984 Mar;121(3):175-81.
Two cases are reported of giant pleural fibroma (2.9 and 4.2 kg), of slow growth (both had been present for 17 years), developing in the parietal pleura in a 56-year-old woman and in the triangular ligament of a 35-year-old man respectively, and treated by surgical excision. Findings in these cases and data on those reported in the literature indicate the principal pathologic and clinical characteristics of these very rare benign tumors of the pleura: onset in the absent of any history of exposure to dust (asbestos); usually fortuitous discovery; suggestive radiological appearances (calcification in some cases) that are not pathognomonic however; differentiation from fibrous mesothelioma by the microscopic or particularly gross pathologic appearance; treatment exclusively surgical and of variable difficulty according to the size of and especially the structures related to the tumor, with the need for careful preoperative screening.
报告了两例巨大胸膜纤维瘤（分别为2.9千克和4.2千克），生长缓慢（均已存在17年），分别发生在一名56岁女性的壁层胸膜和一名35岁男性的三角韧带中，并接受了手术切除。这些病例的发现以及文献报道的数据表明了这些非常罕见的胸膜良性肿瘤的主要病理和临床特征：在无任何接触粉尘（石棉）病史的情况下发病；通常偶然发现；具有提示性的放射学表现（某些病例有钙化），但并非特异性表现；通过显微镜或特别是大体病理表现与纤维性间皮瘤相鉴别；治疗完全采用手术，根据肿瘤大小尤其是与肿瘤相关的结构不同，手术难度各异，术前需要仔细筛查。
