左肺上沟硬纤维瘤手术治疗一例

Surgical management of superior sulcus desmoid tumor in the left lung:A case report

硬纤维瘤是一种罕见的局部侵袭性纤维性肿瘤,其复发率较高,但不易发生转移。我们报道了1例62岁硬纤维瘤男性患者,肿瘤位于左侧颈胸交界处。患者主诉咳嗽、胸痛、左上肢疼痛与活动受限。我们对肿瘤行扩大切除术,包括左肺上叶楔形切除术、部分左锁骨下动脉切除吻合术、T1神经根切除术、胸膜粘连烙断术以及左侧第1、2肋骨切除术。术后患者症状缓解,住院时间8 d。这是首例手术切除肺上沟处硬纤维瘤的病例报告。

Desmoid tumor is a rare,locally-invasive fibromatosis with a high recurrence rate and non-metastatic features.Here,we reported a 62-year male patient with desmoid tumor in the superior sulcus of left lung,complaining of cough,chest pain,limited-movement,and pain on the left upper arm.We performed extended resection of the tumor,including wedge resection of the left upper lobe,resection and anastomosis of partial left subclavian artery,resection of T1 nerve root,cauterization of adhesive pleura,and resection of the left first and second ribs.After surgery,the patient's symptoms were relived.The duration of hospital stay was 8 d.This is the first reported case of surgical treatment for the superior sulcus desmoid tumor.