A Case of Intrapulmonary Solitary Fibrous Tumor - A case report-

폐실질 내에 발생한 고립성 섬유성 종양 -1예 보고-

  • Kim Kun Il (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University) ;
  • Jo Tae Jun (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University) ;
  • Lee Dong Seok (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University) ;
  • Lee Weon Yong (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University) ;
  • Hong Ki Woo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University) ;
  • Eom Kwang Seok (Department of Internal Medicine, College of Medicine, Hallym University) ;
  • Min Soo Kee (Department of Pathology, College of Medicine, Hallym University) ;
  • Lee Jae Woong (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
  • 김건일 (한림대학교 의과대학 흉부외과학교실) ;
  • 조태준 (한림대학교 의과대학 흉부외과학교실) ;
  • 이동석 (한림대학교 의과대학 흉부외과학교실) ;
  • 이원용 (한림대학교 의과대학 흉부외과학교실) ;
  • 홍기우 (한림대학교 의과대학 흉부외과학교실) ;
  • 엄광석 (한림대학교 의과대학 내과학교실) ;
  • 민수기 (한림대학교 의과대학 병리학교실) ;
  • 이재웅 (한림대학교 의과대학 흉부외과학교실)
  • Published : 2005.12.01

Abstract

Solitary fibrous tumor is an uncommon sybnesitgekuak mesenchymal neoplasm that arises primarily from the pleura. Extrapleural solitary fibrous tumors are rare. Solitary Fibrous tumors are often asymptomatic and discovered incidentally but may become symptomatic when vital structures are involved or they grow large. In general, solitary fibrous tumor is diagnosed on the basis of radiologic findings and its histologic features, with immunohistochemistry serving to support the diagnosis. Most solitary fibrous tumors pursue a benign course, and the single most important predictor of clinical outcome is the ability to excise the entire lesion. We experienced a case of intrapulmonary solitary tumor arising from the right lower lobe which was treated with wedge resection. We report this case of the patient.

고립성 섬유성 종양은 주로 흉막에서 발생하는 드문 종양으로 중피하 중간엽에서 기원하며 드물게 흉막 외에서 발생하기도 한다. 많은 경우에서 증상이 없이 우연히 발견되나 다른 중요 장기를 침범하거나 종양의 크기가 커질 경우 증상이 나타나기도 한다. 일반적으로 진단은 영상의학적 검사와 세침흡인을 통한 생검으로 하며 면역조직화학검사를 시행하여 더 정확히 판별할 수 있다 대부분의 경우 양성의 경과를 보이며 병변의 완전한 제거 여부가 가장 중요한 예후 인자가 된다고 알려져 있다. 저자들은 우하엽에 발생한 폐실질 내에 생긴 고립성 섬유성 종양을 채기 절제술로 치험하여 이에 보고하는 바이다

Keywords

References

  1. Klemperer P, Rabin CB. Primary neoplasms of the pleura. Arch Pathol 1931;11:385-412
  2. Rodriguez I, Ayala E, Caballero C, et al. Solitary fibrous tumor of the thyroid gland: report of seven cases. Am J Surg Pathol 2001;25:1424-1428 https://doi.org/10.1097/00000478-200111000-00011
  3. Yousema SA, Flynn SD. Intrapulmonary localized fibrous tumor: intraparenchymal so-called localized fibrous tumor. Am J Clin Pathol 1988;89:365-9 https://doi.org/10.1093/ajcp/89.3.365
  4. Goodland JR, Fletcher CDM. Solitary fibrous tumour arising at unusual sites: analysis of a series. Histopathology 1991; 19:515-22 https://doi.org/10.1111/j.1365-2559.1991.tb01499.x
  5. Caruso RA, LaSpada F, Gaeta M, Minutoli I, Inferrera C. Report of an intrapulmonary solitary fibrous tumor: fine-needle aspiration cytoligic findings, clinicopathological, and immunohistochemical features. Diagn Cytopathol 1996;14:64-7 https://doi.org/10.1002/(SICI)1097-0339(199602)14:1<64::AID-DC13>3.0.CO;2-B
  6. Chang JW, Kim JG, Kim KM, Shim YM, Han JH, Lee KS. Surgical resection of solitary fibrous tumors of the pleura. Korean J Thorac Cardiovasc Surg 2004;37:432-7
  7. England DM, Hochholzer L, McCarthy MJ. Localized benign and malignant fibrous tumors of the pleura. a clinicopathologic review of 223 cases. Am J Surg Pathol 1989;13:640-58 https://doi.org/10.1097/00000478-198908000-00003
  8. Gold JS, Antonescu CR, Hajdu C, et al. Clinicopathologic correlates of solitary fibrous tumors. Cancer 2002;94:1057- 68 https://doi.org/10.1002/cncr.10328