Malignant Solitary Fibrous Tumor of the Pleura: one case report / 대한흉부외과학회지

It suggested that localized fibrous tumor of the pleura originated from a primitive submesothelial mesenchymal cell. The criteria used for a judgment of malignancy were high cellularity and mitotic activity(more than four mitotic figures per 10 high-power fields), pleomorphism, hemorrhage, and necrosis. This 62 years female was admitted with dyspnea and cough. Chest X-ray and CT scan showed a huge mass in right thorax. A 23X18X12 cm, 2 Kg sized mass was excised, and it was collase the right lower lobe and right middle lobe and was adhered to the diaphragm. Pathologically, the tumor was composed high cellularity, fascicle of the spindle cells, and high mitotic numbers(27 mitosis/10HPF). Immunohistochemically, it was positive for vimentin and CD34. This tumor was diagnosised to the malignancy localized fibrous tumor. We experience a case of pleural malignant fibrous tumor and report this case with the review of literature.

Esophagoaortic Fistula Caused by Esophageal Tuberculosis: A Case Report / 대한흉부외과학회지

Tuberculosis of the esophagus is repoted to be very rare. Dysphagia and chest pain are the most common symptoms, but the massive hematemesis is less common. We had experienced a patient with esophagoaortic fistula caused by esophageal tuberculosis with massive hematemesis. A 42 year-old man who was urgently admitted with massive hematemesis. On admission an emergency endoscopy revealed a 0.7 cm sized rich vascularity granulomatous lesion on the 25 cm from the incisor , the patient underwent the wedge resection of the esophagus immediately. The esophagus was severely adhered to the aorta and the esophagealfistula to the aorta was presented. Double ligation was performed. On the 8th postoperative days the patient had massive bleeding through the mediastinal drainage and hematemesis after vomiting, he had performed explothoracotomy and died of the aortic rupture. We report the case with references of literature.