Ex situ hepatectomy and liver autotransplantation for a treating giant solitary fibrous tumor: A case report

Ex situ hepatectomy and liver autotransplantation for a treating giant solitary fibrous tumor: A case report
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异位肝切除联合自体肝移植治疗巨大孤立性纤维瘤一例报告

DOI:
10.3892/ol.2018.9693
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发表时间:
2018-11
期刊:
影响因子:
2.9
通讯作者:
Wang Weilin
Wang Weilin
中科院分区:
医学4区
文献类型:
--
作者:
Sun Zhongquan;Ding Yuan;Jiang Yuancong;Zhang Qiyi;Li Zhiwei;Xiang Jie;Duan Jixuan;Yan Sheng;Wang Weilin

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孤立性纤维瘤是一种罕见的间叶性肿瘤。异位肝切除术和自体肝移植是治疗复杂肝脏肿瘤的新方法,例如,那些涉及血管结构,包括下腔静脉,这是传统方法无法切除的。本研究描述了一个罕见的情况下,巨大的肝SFT在32岁的女性谁接受了异位肝切除术和肝自体移植,以实现根治性切除。手术无并发症。术后组织病理学和免疫组化检查显示肝脏SFT。患者于术后29天出院,肝功能完全恢复。术后3个月复查肝功能正常,无复发迹象。此外,对现有文献进行了详尽的综述,以提供SFT现状的完整概述。总之,本研究发现,异位肝切除术和自体肝移植是治疗巨大SFT以及其他被认为无法通过传统手术切除的肝肿瘤的合适手术技术。
A solitary fibrous tumor (SFT) is a rare mesenchymal tumor. Ex situ hepatectomy and liver autotransplantation are novel methods for the treatment of complicated liver tumors, for example, those involving vascular structures, including the inferior vena cava, which are unresectable by conventional approaches. The present study describes a rare case of a massive hepatic SFT in a 32-year-old female who underwent ex situ hepatectomy and liver autotransplantation to achieve a radical resection. The surgery was without complications. Post-operative histopathological and immunohistochemical examinations revealed an SFT of the liver. The patient was discharged 29 days after the surgery with fully recovered liver function. The routine check-up 3 months after surgery indicated normal liver function and no evidence of recurrence. Additionally, an exhaustive review of available literature was performed to provide a complete overview of the current status of SFTs. In summary, the present study found that ex situ hepatectomy and liver autotransplantation are suitable surgical techniques for treating a giant SFT, as well as other liver neoplasms that are considered unresectable by conventional surgery.
DOI: 10.3109/14767058.2011.596958
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