A Case of Primary Pulmonary Sarcoma with Morphologic Features of Malignant Fibrous Histiocytoma / 결핵
Tuberculosis and Respiratory Diseases
;
: 186-191, 2002.
Artigo
em Coreano
| WPRIM
| ID: wpr-228583
ABSTRACT
A malignant fibrous histiocytoma is a malignant soft tissue neoplasm that occurs frequently in the metaphyseal ends of the long bones of adults. The lung is a common site for metastasis but it is a rare site for a primary malignant fibrous histiocytoma. Here we report a case of a primary malignant fibrous histiocytoma of the lung. The patient was a 53-year-old man who presented with a moderate amount of a left pleural effusion and an ill-defined mass in the left lower lobe on a chest radiograph and a local invasion to the left 10th and 11th rib on chest CT. Under the strong suspicion of lung cancer with a pleural invasion, a serial diagnostic thoracentesis was performed. The cytologic examination of the pleural effusion revealed no malignant cells. Consequently, a thoracoscopic pleural biopsy was performed. The histological examination revealed slender spindle cells and scattered epitheloid cells arranged in a vague storiform or a whirling pattern. Immunohistochemically, the tumor cells tested positive for vimentin and negative for cytokeratin, desmin, CD34 and PAS. These features were consistent with a malignant fibrous histiocytoma. This case is an unusual addition to the small number of published reports on a primary malignant fibrous histiocytoma of the lung.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Derrame Pleural
/
Costelas
/
Sarcoma
/
Neoplasias de Tecidos Moles
/
Vimentina
/
Biópsia
/
Radiografia Torácica
/
Tomografia Computadorizada por Raios X
/
Desmina
/
Histiocitoma Fibroso Maligno
Limite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Tuberculosis and Respiratory Diseases
Ano de publicação:
2002
Tipo de documento:
Artigo
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