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Primary Malignant Fibrous Histiocytoma of Lung: A Case Report

肺部原發性惡性纖維組織肉瘤:一個罕見病例報告

摘要


肺部原發性惡性纖維組織肉瘤極為罕見。一位三十四歲女性病例在三年多前一次胸部X光片檢查意外地發現在左下肺部單一肺腫塊,經過三年規律地胸部X光檢查追蹤及此次住院電腦斷層攝影,發現此一肺腫塊在放射學上並無產生明顯變化。在電腦斷層攝影上呈現一邊界清楚的腫瘤並且合併有中央低吸收區及邊緣的斑點狀鈣化現象。於是我們就此一疾病的臨床病程、組織學來源、放射學上的鑑別診斷及治療,回顧文獻資料作一討論。

並列摘要


While malignant fibrous histiocytoma (MFH) is among the most common soft tissue sarcomas in adults, primary pulmonary MFH is rare. We report a case of primary pulmonary MFH which was stationary for 3 years. Chest radiograph and computed tomography (CT) showed a peripheral lobulated, well-defined mass with peripheral stippled calcifications. The clinical course, histopathologic origin, radiographic findings, and differential diagnosis are discussed.

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