孤立性纤维瘤的诊断及外科治疗  

Diagnosis and surgical treatment of solitary fibrous tumors of the pleura

作　　者：王飞[1] 郑鑫[1] 高志[1] 

机构地区：[1]首都医科大学附属北京友谊医院胸外科,北京100050

出　　处：《临床肺科杂志》2013年第2期199-200,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨胸膜孤立性纤维瘤的临床特点和外科治疗。方法分析本院收治的4例经病理明确诊断的孤立性纤维瘤病例。结果患者多无明显症状,均行手术切除,术中探查肿物包膜较完整、大部无外侵,附着在壁层胸膜2例、纵隔胸膜1例、膈肌1例,术后无明显并发症,随访6～57个月,均存活,无转移,无复发。结论胸膜孤立性纤维瘤是一种少见的肿瘤,包括良性与恶性两类。预后良好生存率高。病理学确诊的良性类型较恶性类型有更高的无瘤生存率。手术切除是治疗此类疾病的首选。Objective To investigate the clinical features and surgical treatment of solitary fibrous tumors of the pleura （SFTP）. Methods The clinical data of 4 patients with SFTP were retrospectively analyzed. Results There was no obvious symptoms in the 4 pa- tients. All of them were given surgical excision. During the operative period, the capsule of goitre was explored to be complete and wasn＇ t invaded. It was attached to partial pleura in 2 cases, mediastinal pleura in 1 case, and musculus diaphragm in 1 case. There was no postoperative complications, All of the patients were followed up for 6 ~ 57 months and no death, metastasis and recurrence reported. Conclusion Solitary fibrous tumors of the pleura is a rare disease that includes the benign and malignant variants. It has a good prognosis and high survival rate. The benign variant has a higher rate of disease free survival than the malignant variant, and surgical excision is the first priority to be chosen.

关 键 词：胸膜孤立性纤维瘤 临床表现 诊断及外科治疗 

分 类 号：R734.3[医药卫生—肿瘤]