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一例罕见的食管巨大孤立性纤维性肿瘤病例
A Rare Case of Giant Solitary Fibrous Tumor of the Esophagus
Li, H., Hu, B., Li, T., Jin, M., Hao, J.  2009/12/29 11:13:00 
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Annals of Thoracic Surgery, 2009, Volume 88, Issue 6 
 

Giant solitary fibrous tumor of the esophagus is a very rare neoplasm. We herein report a successful surgically treated solitary fibrous tumor of the esophagus. A 49-year-old man presented with a history of difficulty in swallowing and chest pain. The preoperative diagnostic workup, including a computed tomographic chest scan, endoscopy, endoscopic ultrasonography, and barium swallow, demonstrated a giant pedunculated intraluminal mass in the esophagus. The tumor was completely resected through a transthoracic esophagotomy, combined with an intraoperative endoscopy. A microscopic examination and immunohistochemical studies supported the diagnosis of a benign solitary fibrous tumors of the esophagus. The patient remained well with no evidence of recurrence 16 months after surgery. © 2009 The Society of Thoracic Surgeons.

Correspondence Address: Li, H.; Department of Thoracic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China; email:huilee@vip.sina.com 
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 病例分析

摘自:《西氏内科学》,第23

 

患者女性,21岁,因干咳、间歇性气促2个月到急诊科就诊。开始症状为上呼吸道感染引起的鼻塞、流涕和咳嗽。医生检查后开了抗生素。服药后鼻部症状缓解,但仍有轻微干咳和呼吸困难。其他症状包括疲劳和焦虑。否认发热、体重减轻、胸痛、端坐呼吸、气喘、鼻后滴漏、胃灼热以及神经系统症状。

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