Complete Resection of a Huge Pleural Solitary Fibrous Tumor 30 Years after Initial Presentation

巨大肋膜腔單發性纖維瘤之三十年病程及完整手術切除

林孟暐(Mong-Wei Lin) ； 徐紹勛(Hsao-Hsun Hsu) ； 李元麒(Yung-Chie Lee)

《胸腔醫學》 25卷5期 (2010/10) Pp. 245-250

https://doi.org/10.29806/TM.201010.0003

摘要

肋膜腔單發性纖維瘤是一種間葉細胞起源的肋膜腫瘤。這類腫瘤常常沒有症狀，影像學檢查常為良性表現，因此較難在手術前診斷，接受手術治療的時間也因而常常延誤。本文描述一位巨大肋膜腔單發性纖維瘤病人，這位六十七歲的女性病人三十年前即發現左側的肺部腫瘤，因切片結果顯示沒有惡性細胞，追蹤十年以後即沒有再回診。三十年後再來到急診處時，腫瘤已佔滿整個左側胸腔，壓迫到心臟及對側的肺葉，並導致呼吸衰竭。這個巨大的肋膜腔單發性纖維瘤順利地經由側面胸廓切開術式完整切除。追蹤一年後沒有復發的情形。

關鍵字

單發性纖維瘤 ； 肋膜腫瘤

並列摘要

Solitary fibrous tumor of the pleura is a mesenchymal neoplasm that involves the pleura. Because the tumors do not show conventional radiological signs of malignancy and some of them are asymptomatic, a preoperative diagnosis can be difficult and referral for surgery is often delayed. We described a 67-year-old female with a huge pleural solitary fibrous tumor. The tumor was first noted 30 years ago, with a biopsy result that revealed no malignancy. She had been regularly followed up for 10 years, but then was lost. The tumor occupied the whole left pleural cavity with compression of the heart and contralateral lung, and was completely excised through 2 separate thoracotomies. No recurrence was noted after a 1-year follow-up.

並列關鍵字

solitary fibrous tumor ； pleural tumor