完整性切除治疗巨大胸膜孤立性纤维肿瘤(附5例报告)

doi:10.13481/j.1671-587x.20160329

Abstract

Abstract:

Objective: To investigate a safe and convenient way to perform an enblocresection of giant solitary fibrous tumor of pleura (SFTP). Methods: The clinical data of 5 patients with giant SFTP(the diameter>10 cm) were collected. Enhanced CT method was used to search the nutrient artery of tumor.Thoracoscope was used to select the location and diameter of the tumor and to assist the separation from the important organ and exposure the operation field,so as to resect the tumor completely.The operation method,diameter of the tumor,operation time,blood loss,drainage time,incisal margin and postoperative complications were recorded. Results: The tumor of 5 patients were all removed.The mean operation time was 112 min.The blood lose during the operation was 210 mL.The mean drainage time was 3.8 d.There were no perioperative death.There was no tumor recurrence found in the 6-36 months follow up. Conclusion: For the SFTP patients, an enhanced CT and artery embolization preoperatively should be perfomed to judge the blood supplyment of tumor and its relationship with surrounding organs.Thoracotomy assisted by thoracoscope may offer a safe and feasible method to accomplish an enblocresection.

Key words: solitary fibrous tumor, pleura, operation method

CLC Number:

R730.262

LIU Xing, YANG Zhiguang, ZHANG Peng, LIU Yunpeng, GAO Bao, SHAO Guoguang. Enblocresection of giant solitary fibrous tumor of pleura:A reportof 5 cases[J].Journal of Jilin University Medicine Edition, 2016, 42(03): 570-573.

References

[1] Chu XY.Solitary fibrous tumor of the pleura:an analysis of forty patients[J]. Thorac Dis,2012,4(2):146-154.

[2] Guo J,Chu X,Sun YE,et al.Giant solitary fibrous tumor of the pleura:an analysis of five patients[J].World J Surg,2010,34(11):2553-2557.

[3] 包佳琪,海玲,赵磊,等.巨大胸膜孤立性纤维瘤的CT 表现[J].临床肺科杂志,2014,19(5):871-874.

[4] 李国仁,戴建华,陈光辉,等.巨大局限性胸膜纤维性间皮瘤3例手术体会[J].中国现代手术学杂志,2008,12(4):320.

[5] 王飞,郑鑫,高志.孤立性纤维瘤的诊断及外科治疗[J].临床肺科杂志,2013,18(2):199-200.

[6] 廖立潇.50例胸部孤立性纤维瘤的临床诊治分析[J].现代诊断与治疗,2013,24(19):4456-4457.

[7] 韩志军,任华,李单清,等.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.

[8] Jadczak P.Solitary fibrous tumour of the pleura-cases analysis[J].Pol J Radiol,2014,79:368-373.

[9] 邢荣格,张荣菊,张晓玲,等.胸膜孤立性纤维性肿瘤临床病理特征及免疫组化研究[J].实用医学杂志,2011,27(11):2000-2001.

[10] 吴斌,庞作良,高胜利,等.孤立性胸膜纤维瘤的诊治体会[J].新疆医科大学学报,2006,29(9):855-856.

[11] Kaur A,Singh J,Mani N,et al.Giant solitary fibrous tumor pleura:Clinical dilemma and diagnosis[J].Lung India,2012(2):179-181.

[12] Liu B,Liu L,Li YB Giant solitary fibrous tumor of the pleura:A case report[J].Thorac Cancer,2015,6(3):368-371.

[13] Guo W,Xiao HL,Jiang YG,et al.Retrospective analysis for thirty-nine patients with solitary fibrous tumor of pleura and review of the literature[J].World J Surg Oncol,2011,9:134.

[14] 邓克学,许实成.胸腔巨大孤立性纤维瘤CT诊断(附2例病例分析)[J].中国医学计算机成像杂志,2010,16(2):175-177.

[15] 程远大,高阳,张位星,等.胸膜巨大孤立性纤维瘤合并周围型肺动脉瘤1例[J].中国肺癌杂志,2015,18(8):523-525.

[16] 蔡成杰,何健行,刘君,等.VATS在胸膜孤立性纤维瘤诊治中的应用[J].中华胸心血管外科杂志,2010,26(1):56-57.

[17] 林毅,李鲁,顾洪斌,等.胸部巨大孤立性纤维瘤的诊断及治疗[J].心肺血管病杂志,2011,30(3):249-250.

Enblocresection of giant solitary fibrous tumor of pleura:A reportof 5 cases

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