Results of surgical treatment of primary pulmonary malignant fibrous histocytoma

• Published in: Nihon Kokyuki Geka Gakkai zasshi (Kyoto, 1992) Vol. 11; no. 5; pp. 631 - 635
• Main Authors: Tian, Dali, Yin, Hongnian, Zhao, Huiru, Hu, Yongxiao, Chen, Dongyi, Li, Houwen
• Format: Journal Article
• Language: English
• Published: The Japanese Association for Chest Surgery 1997
• Subjects: Concurrent chemotherapy and concurrent radiotherapy; Lung; Malignant fibrous histiocytoma; Surgical treatment
• ISSN: 0919-0945; 1881-4158
• DOI: 10.2995/jacsurg.11.631

7 cases with primary pulmonary malignant fibrous histiocytoma were treated in the past 11 years. The patient were 4 males and 3 females, with a mean age of 57.1 years. 6 patients complained of cough and hemoptysis and 1 patient complained of fever. Chest X-ray films showed left total atelectasis in one case, intrapulmonary masses shadow in six cases. Bronchoscopy revealed a mass in left main bronchus in one case and lumen stricture in left lower lobe in another case. Results of biopsy and cytology were both negative. Altogether 7 cases were diagnosed as pulmonary malignant disease for surgical treatment and underwent lobectomy and dissection of mediastinal lymph nodes, including 2 cases of resection of right upper and middle lobes, one case of resection of right upper lobe, one case of resection of right lower lobe, one case of resection of right lower lobe with partial diaphragm and partial liver, one case of left pneumonectomy, and one case of resection of left lower lobe along with part of pericardium. 6 cases died in the interval of 3 to 18 months postoperatively, one patient recurred in the tenth month after right lower lobectomy. Radiotherapy was very helpful for the treatment. The patient has no evidence of recurrence and metastasis. and is still alive.