緊急手術を要した巨大な胸部solitary fibrous tumor合併von Recklinghausen病患者の一例

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  • A case of a huge thoracic solitary fibrous tumor in a patient with von Recklinghausen's disease which required an emergency operation.

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A 72-year-old man with von Recklinghausen's disease before was urgently admitted to our hospital because of acute cardiopulmonary insufficiency. Several months prior to admission, he was not able to assume the supine position. Abnormal shadows on his chest X-ray and CT films revealed that a huge tumor compressed his heart and right lung. The tumor was surgically removed via a median sternotomy incision. The resected tumor was diagnosed as a solitary fibrous tumor by histopathological and immnohistochemical analyses using antibodies for CD34, NSE, Vimentin, S-100, Desmin, AE1/AE3 and α-smooth muscle actin. His postoperative course was satisfactory and he left our hospital 3 weeks after the operation.

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