骨盆腔單發性纖維瘤之病例報告及文獻回顧

許玄昀¹、尤仲豪¹、陳安²、蒙恩¹、于大雄¹

¹國防醫學院三軍總醫院外科部泌尿外科

²國防醫學院三軍總醫院病理部

Pelvic Solitary Fibrous Tumor- A Case Report and Review of Literature

Hsuan-Yun Hsu MD¹, Chung-Hao Yu, MD¹, Chen Ann, MD², Meng En, MD¹, Dah-Shyong Yu MD, PhD¹

¹Division of Urology, Department of Surgery,

Tri-Service General Hospital, National Defense Medical Center;

²Department of Pathology,

Tri-Service General Hospital, National Defense Medical Center

Abstract

    This patient is a 47-year-old male had difficulty with urination and defecation for several weeks. Pelvic tumor was revealed by sonography at the clinic, he went to the hospital outpatient department. He accepted several exams, one large heterogeneous mass (9.0 x 6.4 x 8.6 cm) with central necrosis over the pelvic cavity and bladder and prostate compression was noted by abdominal CT and MRI. Then, he underwent Exp. Lap. with removal of the pelvic tumor without any complication. The pathology reported malignant solitary fibrous tumor with dedifferentiation, intermediate risk, pT2(8.6cm) N0M0 G3, margin <0.1cm, LVSI+. Now, he accepts palliative radiation therapy.