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題名 | Solitary Fibrous Tumor of Pleura, Complicated with Hemothorax and Pulmonary Embolism: A Case Report |
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作者姓名(外文) | Yang, Yi-chun; Tey, Shu-farn; Liao, I-chuang; | 書刊名 | 胸腔醫學 |
卷期 | 39:2 2024.06[民113.06] |
頁次 | 頁134-141 |
分類號 | 415.432 |
關鍵詞 | Solitary fibrous tumors; SFTs; Hemothorax; Pulmonary embolism; |
語文 | 英文(English) |
英文摘要 | Solitary fibrous tumors (SFTs) are rare neoplasms, with an estimated frequency of 2.8 per 100,000 individuals, and account for less than 5% of pleura tumors. Most SFTs are benign, but there is still a 10~20% malignancy rate. Here, we reported the case of a 75-year-old female diagnosed with SFT of the pleura, complicated with hemothorax and pulmonary embolism. SFTs grow slowly, so most patients are asymptomatic until the tumors become large enough to compress the adjacent lung. A few patients may present with paraneoplastic syndrome, such as Doege-Potter syndrome [DPS] and hypertrophic pulmonary osteoarthropathy. Despite its low incidence, malignant SFTs have a high recurrence rate (63%), even after complete resection, and a poor prognosis. Adjuvant chemotherapy should be administered, although the efficacy is limited. The complications of hemothorax and pulmonary embolism are less mentioned in other case reports. For hemothorax, hemostasis followed by staged tumor resection seems to be a better strategy. For pulmonary embolism, tumors with heart involvement should be ruled out. Also, SFTs may originate from the intima of the pulmonary artery, mimicking pulmonary embolism. |
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