胸腔巨大肿物伴椎管内肿物
Giant Intrathoracic Mass Accompanied by Intraspinal Tumor
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摘要: 患者胸闷、憋气5年,加重1年;上腹胀、发现"左下肺"肿物1年余入院。入院后胸部CT、MRI发现:左下胸腔椎管内来源巨大肿物,考虑神经源性肿瘤,伴左侧胸腔积液;胸腔内肿物穿刺病理提示:孤立性纤维瘤。行左胸后外侧切口+背部纵切口手术切除肿物。术后病理显示:孤立性纤维瘤。孤立性纤维瘤发生部位广泛,几乎囊括躯体所有的解剖部位,临床上常无症状,随着肿瘤的增大,会出现相应部位的压迫症状。手术可以治愈绝大部分病例。Abstract: The patient was admitted with a chief complaint of chest distress and breathing obstruction for 5 yearsand epigastric distention and detection of a‘left lower lung mass’for more than 1 year. After admission, CTand MRI showed a giant intrathoracic mass accompanied by an intraspinal tumor. Fine needle aspiration biop-sy diagnosed the intrathoracic mass as solitary fibrous tumor. A two-incision surgery was performed to resectthe tumor. The tumor was confirmed as solitary fibrous tumor by postoperative pathology. Solitary fibrous tu-mors can occur in almost every part of the human body and are usually symptomless. Surgical treatment cancure most cases.