Harada T, Nakayama K, Kitano T, Sakaguchi H
Department of Cardiovascular Surgery, Shimane Prefectural Central Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Nov;45(11):1840-3.
A 68-year-old man began complaining of dizziness and dyspnea on exertion 2 months ago. Chest X-ray and CT scan taken on admission revealed a giant tumor occupying almost all of the right thoracic cavity. The mediastinum, especially RA and IVC, was markedly oppressed and shifted by the tumor. MRI showed no invasive lesions of the tumor into adjacent organs. An operation was performed under the tentative diagnosis of solitary fibrous tumor (SFT) of the pleura by transcutaneous needle biopsy. The tumor was encapsulated and resected from the lower lobe of the right lung using a surgical stapler. Then the tumor was carefully dissected from the chest wall, pericardium and diaphragma, and removed completely. It weighed 3920 g and measured 22 x 20 x 20 cm. Various immunohistochemical properties of the specimen were morphologically compatible with SFT. The postoperative course was uneventful and the patient is now free of complaints. Because malignant cases of SFT have been reported a careful follow-up will be performed.
一名68岁男性在2个月前开始出现头晕和劳力性呼吸困难。入院时的胸部X线和CT扫描显示一个巨大肿瘤几乎占据了整个右侧胸腔。纵隔，尤其是右心房和下腔静脉，被肿瘤明显压迫并移位。MRI显示肿瘤未侵犯相邻器官。在经皮穿刺活检初步诊断为胸膜孤立性纤维瘤（SFT）后进行了手术。肿瘤被包裹，使用手术吻合器从右肺下叶切除。然后小心地将肿瘤从胸壁、心包和膈肌上剥离，完整切除。肿瘤重3920克，大小为22×20×20厘米。标本的各种免疫组化特性在形态上与SFT相符。术后过程顺利，患者目前无不适主诉。由于已有SFT恶性病例的报道，将进行密切随访。
