| 胸部孤立性纤维瘤的诊断与外科治疗 |
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| 引用本文： | 韩志军,任华,李单青,张志庸.胸部孤立性纤维瘤的诊断与外科治疗[J].中国胸心血管外科临床杂志,2011,18(3):227-230. |
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| 作者姓名： | 韩志军 任华 李单青 张志庸 |
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| 作者单位： | 中国医学科学院北京协和医学院北京协和医院胸外科,北京,100730 |
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| 摘 要： | 目的探讨胸部孤立性纤维瘤（solitary fibrous tumor,SFT）的临床特点和外科治疗方法。方法回顾性分析北京协和医院胸外科2004年1月至2010年6月手术治疗16例胸部SFT患者的临床资料,男8例,女8例;中位年龄49岁（19~73岁）。实验室检查均未见异常;胸部X线、CT检查发现肺部肿物8例,纵隔肿物3例,纤维性肿瘤2例,胸腔肿物2例,腹膜后肿物1例;术前行CT引导下穿刺或胸腔镜活组织检查5例,其中3例明确诊断为SFT;其余13例术前均未明确诊断。所有患者均无石棉接触史,5例出现临床症状。16例均施行手术治疗,其中常规开胸手术10例,胸腔镜手术6例。肿瘤发生于脏层胸膜12例,壁层胸膜3例（发生于膈胸膜1例、肋胸膜2例）,肺实质内1例。结果所有肿瘤均完整切除,全组患者免疫组织化学显示CD34阳性;围术期无死亡、无手术并发症。16例患者均规律复查和随访,术后随访1~72个月,中位随访时间21个月。影像学检查（胸部X线片或CT）提示：16例患者均无肿瘤复发,生存良好。结论胸部SFT罕见,有时巨大,外科根治性切除是最佳治疗方法;因肿瘤可能复发,术后患者需长期随访。
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| 关 键 词： | 孤立性纤维瘤 胸部 临床特点 外科治疗 |
Diagnosis and Surgical Treatment for Solitary Fibrous Tumor in the Thorax |
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| HAN Zhi-jun,REN Hua,LI Shan-qing,ZHANG Zhi-yong.Diagnosis and Surgical Treatment for Solitary Fibrous Tumor in the Thorax[J].Chinese Journal of Clinical Thoracic and Cardiovascular Surgery,2011,18(3):227-230. |
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| Authors: | HAN Zhi-jun REN Hua LI Shan-qing ZHANG Zhi-yong |
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| Affiliation: | HAN Zhi-jun,REN Hua,LI Shan-qing,ZHANG Zhi-yong.(Department of Thoracic Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Science & Peking Union Medical College,Beijing 100730,P.R.China) |
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| Abstract: | Objective To investigate the clinical features of solitary fibrous tumor(SFT) in the thorax and its optimal surgical approaches.Methods We retrospectively reviewed the clinical records of 16 patients with SFT in the thorax in our hospital between January 2004 and June 2010.There were 8 males and 8 females,with a median age of 49 years(19-73 years).Laboratory examination showed normal results.Chest X-ray and computed tomographic scan revealed lung tumor in 8 cases,mediastinal mass in 3 cases,fibrous tumor in... |
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| Keywords: | Solitary fibrous tumor Thorax Clinical feature Surgical treatment |
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