肺炎性肌成纤维细胞瘤:手术切除和长期观察

Ning Y, Yan X, Xie D, J. G
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引用次数: 0

摘要

目的:探讨炎性肌成纤维细胞瘤是一种非常罕见的间质肿瘤,探讨炎性肌成纤维细胞瘤的外科治疗经验。材料与方法:本研究于2005年1月至2015年1月招募了32例经手术诊断为炎性肌成纤维细胞瘤的患者,其中男性13例,女性19例。术后随访由胸外科医生每3个月至12个月随访一次,术后每6个月随访一次至24个月随访一次,之后每年随访一次。结果:32例炎性肌成纤维细胞瘤(年龄9 ~ 72岁,平均37.85±19.42岁,男13例,女19例,范围0.8 ~ 8cm,平均3.84±2.05 cm)行手术治疗,其中肺叶切除术15例,楔形切除术7例,支气管成形术4例,气管肿瘤切除术2例,套筒切除术3例,楔形切除术合并胸壁活检1例。31例患者存活至今,1例患者术后6个月死亡。结论:完全切除IMT病变可能导致有希望的长期生存,否则可能导致预后受损。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pulmonary Inflammatory Myofibroblastic Tumor: Surgical Resection and Long-Term Surveillance
Objective: Inflammatory myofibroblastic tumor is a very rare mesenchymal tumor, we share our experience of surgical treatment for inflammatory myofibroblastic tumor. Materials and Methods: From January 2005 to January 2015, 32 patients were recruited in this study including 13 males and 19 females who received surgery and diagnosed as inflammatory myofibroblastic tumor. Postoperative followup was conducted by thoracic surgeons every 3 months until 12 months after surgery, after that every 6 months until 24 months, and then yearly. Results: 32 patients (aged: 9-72 yr, average:37.85 ± 19.42 yr, 13 males and 19 females ) received surgical treatment for inflammatory myofibroblastic tumor (ranged:0.8-8 cm, average:3.84 ± 2.05 cm), including 15 cases of lobectomy, 7 cases of wedge resection, 4 cases of bronchoplasty, 2 case of tracheal tumor resection, 3 cases of sleeve resection and 1 case of wedge resection with biopsy of the chest wall. 31 patients are still alive till now, while one patient die 6 months after the surgery. Conclusion: It suggested that complete resection of the IMT lesions may lead to a promising long-term survival, otherwise it may lead to a compromised outcome.
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