胸腔巨大肿物伴椎管内肿物

Giant Intrathoracic Mass Accompanied by Intraspinal Tumor

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。

The patient was admitted with a chief complaint of chest distress and breathing obstruction for 5 years and epigastric distention and detection of a ＇left lower lung mass＇ for more than 1 year. After admission, CT and MRI showed a giant intrathoracic mass accompanied by an intraspinal tumor. Fine needle aspiration biopsy diagnosed the intrathoracic mass as solitary fibrous tumor. A two-incision surgery was performed to resect the tumor. The tumor was confirmed as solitary fibrous tumor by postoperative pathology. Solitary fibrous tumors can occur in almost every part of the human body and are usually symptomless. Surgical treatment can cure most cases.