Solitary fibrous pleural tumor. A rare and challenging case
Autor: | Farida Karim Chagan, Saulat H. Fatimi, Usama Khalid Choudry, Hina Inam |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Solitary fibrous tumor
medicine.medical_specialty Parietal Pleura Pleural Tumor Article 03 medical and health sciences 0302 clinical medicine Biopsy medicine Benign lesion medicine.diagnostic_test business.industry respiratory system medicine.disease eye diseases respiratory tract diseases Solitary fibrous pleural tumor Thoracic surgery surgical procedures operative Cardiothoracic surgery Homogeneous 030220 oncology & carcinogenesis Localized disease En bloc resection 030211 gastroenterology & hepatology Surgery Radiology sense organs business Wedge resection (lung) |
Zdroj: | International Journal of Surgery Case Reports |
ISSN: | 2210-2612 |
Popis: | Highlights • Solitary fibrous pleural tumors are rare. • Majority are benign lesions. • Complete en bloc resection is curative for localized disease. Introduction Solitary fibrous tumor of the pleura (SFTP) is a rare tumor originating from mesenchymal tissue underlying the mesothelial pleural layer with only a limited number of reported cases. Benign and malignant SFTP usually appear as a well-defined, homogeneous, and rounded mass on imaging. Complete en bloc is usually the treatment of choice. Case Presentation 44 years old gentleman presented with the unintentional weight loss and chest discomfort for 6 months. A CT scan of chest showed a 30 × 20 × 20 cm heterogeneously enhancing soft tissue mass involving the entire right hemithorax. PET scan showed a localized disease. Therefore, a complete right upper lobectomy and complete removal of mass was done, that resulted in complete expansion of the middle and lower lobe. The patient remains stable till date. Biopsy revealed a fibrous pleural tumor. Conclusion Complete surgical resection of the tumor is usually sufficient, but there are reported cases with recurrence. Wedge resection for complete excision can be carried out for tumors arising from visceral pleura. Extra pleural excision can be done without chest wall resection in tumors arising from the parietal pleura. |
Databáze: | OpenAIRE |
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