Článok referuje troch pacientov so solitárnym fibróznym tumorom hrudníka. Prvý pacient mal nádor v oblasti kupoly pravej pohrudnicovej dutiny, ktorý bol radikálne resekovaný spolu s hrudníkovou stenou v okolí jeho origa. V druhom prípade išlo o nádor fixovaný cievnou stopkou k dolnému laloku pravých pľúc. Tento nádor bol resekovaný atypicky, cestou torakotómie, spolu s bezpečnostným lemom zdravého pľúcneho tkaniva v oblasti bázy jeho stopky. Posledný pacient mal nádor dolného laloka pravých pľúc, ktorý obklopoval dolnú pľúcnu žilu a miestami nemal zreteľnú hranicu so zdravým pľúcnym tkanivom. Nález si vyžiadal dolnú lobektómiu pravých pľúc cestou posterolaterálnej torakotómie. Kazuistiky poukazujú na zriedkavý typ nádorov v oblasti hrudníka, ktoré v čase zistenia dosahujú často veľké rozmery, nútiace k rozsiahlym operačným výkonom. Vzhľadom k biologickej povahe týchto nádorov, je vhodné daných pacientov dlhodobo dispenzarizovať.
The article reports on three patients with a solitary fibrous tumor of the chest. The first patient had a tumor in the area of the dome of the right pleural cavity which was radically resected together with the chest wall around its origin. In the second case, the tumor was attached by a vascular pedicle to the lower lobe of the right lung. This tumor was resected atypically, via thoracotomy, along with a margin of healthy lung tissue at the base of its pedicle. The last patient had a tumor of the lower lobe of the right lung, surrounding the lower pulmonary vein, which did not have a clear margin of healthy lung tissue. This finding required right lower lobectomy via posterolateral thoracotomy. The presented cases describe rare types of tumors in the chest area which at the time of detection often reach large dimensions, necessitating extensive surgical procedures. Due to the biological nature of these tumors, long-term patient follow-up is advisable.
- MeSH
- Adult MeSH
- Dyspnea etiology MeSH
- Thorax diagnostic imaging pathology MeSH
- Middle Aged MeSH
- Humans MeSH
- Pleural Neoplasms surgery diagnostic imaging pathology MeSH
- Lung Neoplasms surgery diagnostic imaging pathology MeSH
- Pleural Cavity surgery diagnostic imaging pathology MeSH
- Tomography, X-Ray Computed MeSH
- Aged MeSH
- Solitary Fibrous Tumors * surgery diagnostic imaging pathology MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Aged MeSH
- Publication type
- Case Reports MeSH
- Geographicals
- Slovakia MeSH
- MeSH
- Carcinoma, Bronchogenic diagnosis classification pathology therapy MeSH
- Humans MeSH
- Respiratory Tract Neoplasms * diagnostic imaging classification pathology therapy MeSH
- Pleural Neoplasms * diagnostic imaging etiology MeSH
- Neuroendocrine Tumors diagnosis classification therapy MeSH
- Thymoma pathology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Survival Analysis MeSH
- Asbestos adverse effects MeSH
- Cisplatin therapeutic use MeSH
- Humans MeSH
- Pleural Effusion, Malignant pathology MeSH
- Mesothelioma * diagnostic imaging epidemiology etiology drug therapy MeSH
- Pleural Neoplasms diagnostic imaging epidemiology etiology drug therapy MeSH
- Occupational Diseases MeSH
- Pemetrexed therapeutic use MeSH
- Antineoplastic Combined Chemotherapy Protocols MeSH
- Radiotherapy methods MeSH
- Check Tag
- Humans MeSH