孤立性胸膜纤维瘤合并胸腔积液一例  

Acase of solitary fibrous tumor in pleura with pleural effusion

作　　者：毕贞水[1] 

机构地区：[1]山东曲阜师范大学医院,曲阜273165

出　　处：《新医学》2013年第9期661-662,共2页Journal of New Medicine

摘　　要：孤立性胸膜纤维瘤是一种罕见的原发性胸膜肿瘤,发病率低,临床表现多样,极易漏诊或误诊。该文报道了1例51岁的男性,长期从事石棉工作,因咳嗽、憋喘10 d,以胸腔积液原因待查收入院,临床治疗效果欠佳,后作胸部CT检查,结果示肺占位性病变,行剖胸探查,术后确诊为孤立性胸膜纤维瘤。该例提示,如果患者有长期石棉接触史,当有胸腔积液或不典型胸痛,且伴有影像学的改变时,应想到患孤立性胸膜纤维瘤的可能性。Solitary fibrous tumor in pleura is a rare primary pleura1 tumor, who has low incidence rate and clinical diversity. It is extremely easy to be misdiagnosed. This paper reported a 51-year-old male, who has been long engaged in asbestos work. After coughed and wheezed for 10 days, the patient was hospitalized for pleural effusion causes. For the clinical treatment was ineffective, he was given the chest CT check, which showed that he suffered from pulmonary lesions, and then adopted exploratory thoracotomy. The postoperative diagnosis was solitary fibrous tumor of the pleura. This case indicates that if the patient has been exposed to asbestos for a long time, appeared pleural effusion or atypical chest pain occur, and accompanied by radiological changes. Doctors should suspect the possibility of solitary fibrous tumor in pleura.

关 键 词：孤立性纤维瘤 胸膜 胸腔积液 石棉 

分 类 号：R734.6[医药卫生—肿瘤]