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目的探讨胸膜孤立性纤维瘤(SFTP)的诊断和外科治疗。方法回顾分析河南大学淮河医院胸外科1990-01-2009-08间收治的胸膜孤立性纤维瘤6例的临床资料。结果胸闷、胸痛、咳嗽、咯痰、发热是SFTP的主要症状。诊断主要依据免疫组化分析,所有患者的CD34、vi mentin、bcl-2和CD99均阳性表达。随访5个月至19 a,无复发及转移。结论胸膜孤立性纤维瘤的诊断主要依[靠免疫组化分析,根治性切除是主要治疗手段。
Objective To investigate the diagnosis and surgical treatment of pleural solitary fibrous tumor (SFTP). Methods The clinical data of 6 cases of pleural solitary fibroma treated in Department of Thoracic Surgery, Huaihe Hospital, Henan University from 1990 to 2009 were retrospectively analyzed. Results chest tightness, chest pain, cough, expectoration, fever is the main symptom of SFTP. The diagnosis mainly based on immunohistochemical analysis, all patients CD34, vi mentin, bcl-2 and CD99 were positive. Followed up for 5 months to 19 years, no recurrence and metastasis. Conclusions The diagnosis of pleural solitary fibroma is mainly based on [immunohistochemical analysis, radical resection is the main treatment.