Primary Malignant Fibrous Histiocytoma of the Lung: A Case Report

原發性肺臟惡性纖維組織細胞瘤：病例報告

湯恩魁(En-Kwei Tang) ； 周宜平(Yl-Pin Chou) ； 許宏基(Hon-Ki Hsu)

《胸腔醫學》 19卷3期 (2004/06) Pp. 215-219

https://doi.org/10.29806/TM.200406.0007

摘要

原發性肺臟惡性纖維組織細胞瘤臨床上非常罕見，本篇報告壹位三十四歲女性主訴為？咳達兩個之久，沒有合併發燒，胸痛，呼吸急促或體重減輕。CXR顯示一開洞結節位於左上肺葉，胸部電腦斷層顯示此結節約2.5公分，有部分開洞形成。電腦斷層下的切片結果疑似惡性腫瘤。我們施行左上肺葉切除手術，病理報告顯示為肺臟惡性纖維組織細胞瘤。惡性纖維組織細胞瘤是最常見的成人軟組織肉瘤，通常位於四肢或軀幹。此病例沒有在其它地方發現軟組織肉瘤存在。位於肺臟的原發性急性纖維組織細胞瘤相當少見，我們報告這一罕見病例並作文獻回顧與討論。

關鍵字

惡性纖維組織細胞瘤 ； 軟組織肉瘤

並列摘要

Primary malignant fibrous histiocytoma (MFH) arising in the lung is a rare clinical entity. We report a 34-year-old female who presented with a two-month history of dry cough. There was no fever, chest pain, shortness of breath, or body weight loss. Earlier chest roentgenograms revealed a cavity nodule in the left upper lobe, and no interval change in the size two months later. The chest computed tomography (CT) revealed a nodular lesion about 2.5 cm in the left upper lobe with partial cavity formation. The patient underwent CT-guided biopsy and the pathology reported a neoplasm. The possibility of malignancy was considered due to hypercellularity and cellular atypia. A left upper lobe lobectomy was performed and the final pathological diagnosis was malignant fibrous histiocytoma without lymph node metastasis. MFH is the most common soft tissue sarcoma in adults, usually arising in the extremities or trunk. The chest is a rare primary location for this tumor.

並列關鍵字

malignant fibrous histiocytoma (MFH) ； soft tissue sarcoma