孤立性纤维瘤的诊断及外科治疗

目的探讨胸膜孤立性纤维瘤的临床特点和外科冶疗。方法分析本院收治的4例经病理明确诊断的孤立性纤维瘤病例。结果患者多无明显症状，均行手术切除，术中探查肿物包膜较完整、大部无外侵，附着在壁层胸膜2例、纵隔胸膜1例、膈肌1例，术后无明显并发症，随访6～57个月，均存活，无转移，无复发。结论胸膜孤立性纤维瘤是一种少见的肿瘤，包括良陛与恶性两类。预后良好生存率高。病理学确诊的良性类型较恶性类型有更高的无瘤生存率。手术切除是治疗此类疾病的首选。

Diagnosis and surgical treatment of solitary fibrous tumors of the pleura

Objective To investigate the clinical features and surgical treatment of solitary fibrous tumors of the pleura （SFTP）. Methods The clinical data of 4 patients with SFTP were retrospectively analyzed. Results There was no obvious symptoms in the 4 pa- tients. All of them were given surgical excision. During the operative period, the capsule of goitre was explored to be complete and wasn＇ t invaded. It was attached to partial pleura in 2 cases, mediastinal pleura in 1 case, and musculus diaphragm in 1 case. There was no postoperative complications, All of the patients were followed up for 6 ~ 57 months and no death, metastasis and recurrence reported. Conclusion Solitary fibrous tumors of the pleura is a rare disease that includes the benign and malignant variants. It has a good prognosis and high survival rate. The benign variant has a higher rate of disease free survival than the malignant variant, and surgical excision is the first priority to be chosen.