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Solitary fibrous 
tumor           

               2 
1  65        
               


 2005 4
                      CT
                                

 20        

  
Peripheral blood 
  WBC                 4400        Na                 142 
  RBC              436×10         K                   4.2 
                          4 
                                           
  Hb                   13.1       Cl                 105 
  Ht                   38.7 
  PLT             19.8×10       Tumor marker 
                          4 

                                  NSE                 6.7 
Blood chemistry                   CEA                 0.4 
  TP                     7.0      SCC               0.50 
  GOT                     15 
  GPT                     15 
  LDH                   146 
  CPK                     70                                 
  BUN                     18 
  Cr                   0.54 
  CRP                    0.0
8.0x2.3cm
CT                  

Spindle cell tumor, suspicion of solitary fibrous tumor  
Solitary fibrous tumor 

                             #9LN sampling 

95  
HE   1.25    
                                  




HE   10    
CD34    20     
                                   CD34       




 HE     10       
                        



                     
             bcl‐2
AE1/3
2  79             
                  

     2009 6
                 CT
                             

              
     38                          
     65                      

     18‐78       20 /    
Peripheral blood 
  WBC                 6100        Na                 139 
  RBC              430×10         K                   4.2 
                          4 
                                           
  Hb                   13.3       Cl                 108 
  Ht                   40.0 
  PLT             24.3×10       Tumor marker 
                          4 

                                  CYFRA              4.1 
Blood chemistry                   CEA                8.2 
  TP                     6.8 
  GOT                     20 
  GPT                     15 
  LDH                   208 
  CPK                     78                                      
  BUN                     16                                 
  Cr                   0.78 
  CRP                    0.2
CT:              consolidaOon    
PET:     SUVmax7.8 FDG                   
CT                  
Non‐small cell lung cancer, squamous cell 
 carcinoma 

            
Rt. lung cancer, SqCC, cT2N0M0 stage B 
        rt. S8 lung cancer, SqCC, 6.0x4.5x3.5cm, 
                                                       
          PL0,D0,E0,PM0  sT2aN0M0  

              s/o solitary fibrous tumor 

                          +ND1+#7 

          2      15  

          60ml
HE   10    
                                        




HE         1.25    


     SFT               
CD34        20     
                             CD34       




HE   10    
3  36   
           


 20                           2010
 5                                 CT
                                

               

 
Peripheral blood 
  WBC                 6400       Na               140 
  RBC              508×10        K                 4.1 
                          4 
                                          
  Hb                   14.1      Cl               102 
  Ht                   43.4 
  PLT             39.0×10
                          4 



Blood chemistry 
  TP                     7.8 
  GOT                     20 
  GPT                     20 
  LDH                   189 
  CPK                     92                              
  BUN                     12 
  Cr                   0.81 
  CRP                    0.4
CT: 

                    

                

            

                        
Solitary fibrous tumor    

                        

1   45  

20ml
HE          CD34    
     1.25 
     20 
HE     
     10
4  51          
               


     2006
                      2010
                                  


     20            
     50        

      
Peripheral blood 
  WBC                 4700        Na                 142 
  RBC              476×10         K                   4.3 
                          4 
                                           
  Hb                   14.1       Cl                 104 
  Ht                   42.0 
  PLT             28.2×10       Tumor marker 
                          4 

                                  CYFRA              3.3 
Blood chemistry                   CEA                2.9 
  TP                     7.6 
  GOT                     32 
  GPT                     23 
  LDH                   256 
  CPK                   426                                   
  BUN                     50 
  Cr                   2.62 
  CRP                   0.0
 
[   ] 
No malignancy 
[   ] 
                          
                              
            
                  
s/o solitary fibrous tumor, 9.0x6.0x3.5cm 

     (               spindle cell tumor)  

                                

     1     40  

     30ml
[     ] 
Solitary fibrous tumor 
[     ] 
                                                       
                                                      
                                                      
                                                  
                                          
                         CD34,CD99                    
                                              
7counts/100HPF                                            
    
Solitary fibrous tumor(   SFT)  
 1931 Klemperer
                                   CD34

     vimenOn bcl‐2 CD99

 pa`ernless pa`ern

                             SFT
                           30%

            
4/10HPF
               10cm

    SFT         12‐37%   50%
              38% 2
    5%

           
•            Solitary fibrous tumor   4
      

•                                                 

•        3                               1
                                             5
                                      

• 

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発表スライド

  • 2. 1  65      2005 4   CT      20     
  • 3. Peripheral blood   WBC     4400    Na       142   RBC    436×10  K    4.2  4     Hb    13.1   Cl     105   Ht     38.7   PLT     19.8×10 Tumor marker  4   NSE    6.7  Blood chemistry   CEA    0.4   TP    7.0   SCC     0.50   GOT    15   GPT    15   LDH    146   CPK    70   BUN    18   Cr     0.54   CRP    0.0
  • 5. CT   Spindle cell tumor, suspicion of solitary fibrous tumor  
  • 6.
  • 7. Solitary fibrous tumor  #9LN sampling  95  
  • 8. HE 1.25   HE 10  
  • 9. CD34 20   CD34 HE 10     bcl‐2 AE1/3
  • 10. 2  79      2009 6   CT            38    65    18‐78 20 /  
  • 11. Peripheral blood   WBC     6100    Na       139   RBC    430×10  K    4.2  4     Hb    13.3   Cl     108   Ht     40.0   PLT     24.3×10 Tumor marker  4   CYFRA    4.1  Blood chemistry   CEA    8.2   TP    6.8   GOT    20   GPT    15   LDH    208   CPK    78     BUN    16   Cr     0.78   CRP    0.2
  • 12. CT:    consolidaOon   PET:  SUVmax7.8 FDG  
  • 13. CT   Non‐small cell lung cancer, squamous cell  carcinoma    Rt. lung cancer, SqCC, cT2N0M0 stage B 
  • 14.
  • 15.   rt. S8 lung cancer, SqCC, 6.0x4.5x3.5cm,    PL0,D0,E0,PM0  sT2aN0M0         s/o solitary fibrous tumor  +ND1+#7  2 15   60ml
  • 16. HE 10   HE 1.25   SFT  
  • 17. CD34 20   CD34 HE 10  
  • 18. 3  36      20 2010  5 CT          
  • 19. Peripheral blood   WBC     6400    Na       140   RBC    508×10  K    4.1  4     Hb    14.1   Cl     102   Ht     43.4   PLT     39.0×10 4  Blood chemistry   TP    7.8   GOT    20   GPT    20   LDH    189   CPK    92   BUN    12   Cr     0.81   CRP    0.4
  • 20. CT:         
  • 21.
  • 22. Solitary fibrous tumor     1 45   20ml
  • 23. HE   CD34   1.25 20 HE   10
  • 24. 4  51      2006   2010      20      50     
  • 25. Peripheral blood   WBC     4700    Na       142   RBC    476×10  K    4.3  4     Hb    14.1   Cl     104   Ht     42.0   PLT     28.2×10 Tumor marker  4   CYFRA    3.3  Blood chemistry   CEA    2.9   TP    7.6   GOT    32   GPT    23   LDH    256   CPK    426     BUN    50   Cr     2.62   CRP    0.0
  • 26.
  • 27.   [ ]  No malignancy  [ ]         
  • 28.
  • 29. s/o solitary fibrous tumor, 9.0x6.0x3.5cm     ( spindle cell tumor)     1 40   30ml
  • 30. [ ]  Solitary fibrous tumor  [ ]            CD34,CD99     7counts/100HPF    
  • 31. Solitary fibrous tumor( SFT)   1931 Klemperer CD34 vimenOn bcl‐2 CD99 pa`ernless pa`ern SFT 30%  
  • 32. 4/10HPF 10cm SFT 12‐37% 50% 38% 2 5%  
  • 33. •  Solitary fibrous tumor 4   •    •  3 1 5   •