CT 呈现肋骨压迹的胸膜孤立性纤维性肿瘤1 例分析 - New Century .PDF

/index.php/gjcr Global Journal of Clinical Report，2014,Vol.1,No.5 Clinical analysis of 1 case of solitary fibrous tumor of the pleura patients with computed tomography presenting rib impression WANG Ji-fang, YAO Yi-gang, SHI Zhen-dong, HE Yong-man Tiefa Coal Group General Hospital of Shenyang Medical College, Tieling Liaoning, China Received: Oct 27, 2014 Accepted: Nov 21, 2014 Published: Dec 18, 2014 DOI: 10.14725/gjcr.v1n5a883 URL: /10.14725/gjcr.v1n5a883 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Objective: To explore the clinical and radiographic characteristics, methods of diagnosis and treatment of solitary fibrous tumor of the pleura (SFTP). Methods: To retrospectively analyze the diagnostic process of 1 case of SFT patients with computed tomography (CT) presenting rib impression, and to have literature review. Results: The patients had obvious clinical symptoms. His chest CT showed a 3.4cm ×2.4cm size round soft tissue density in the right upper chest wall outside pleura, the boundary between pleura and the image is not clear, adjacent rib showed traces of impression formation, enhanced scanning lesions was slightly uneven, range small patchy low enhancement. His pathological examination showed that the tumor tissue is mainly composed of spindle cells, and immunohistochemis- try showed CD34, CD99, SMA positive. Conclusions: SFTP is a rare spindle cell tumor, clinical manifestation and imaging are not specific. The pressure trace CT presented is not proprietary features of neurogenic tumors in the ribs. The diagnosis of SFTP mainly depends on the pathological and immunohistochemistry examination. Operation is the first choice of the treatment, and prognosis is good after the operation. Key words Fibroma