Weynand B, Noël H, Goncette L, Noirhomme P, Collard P
Department of Pathology, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Chest. 1997 Nov 5;112(5):1424-8. doi: 10.1378/chest.112.5.1424.
Five patients had a solitary fibrous tumor of the pleura; a well-known but rare entity. In all cases, biopsy by a transthoracic cutting needle (Tru-Cut; Travenol; Deerfield, IL) yielded specimens adequate for histologic analysis and gave the clue to the diagnosis. In four patients, surgical resection confirmed the diagnosis. The opportunity for and interest in diagnosing these tumors by transthoracic cutting needle biopsy before surgery are discussed. An accurate diagnosis of solitary fibrous tumors of the pleura can be made by a minimally invasive procedure; this allows for a more informed allocation of surgical resources.
5例患者患有胸膜孤立性纤维瘤，这是一种已知但罕见的病症。在所有病例中，经胸切割针（Tru-Cut；Travenol；伊利诺伊州迪尔菲尔德）活检获取了足以进行组织学分析的标本，并为诊断提供了线索。4例患者经手术切除得以确诊。本文讨论了术前通过经胸切割针活检诊断这些肿瘤的机会和意义。通过微创操作可准确诊断胸膜孤立性纤维瘤，这有助于更合理地分配手术资源。
