Giant Solitary Fibrous Tumour of Pleura -An Uncommon Intrathoracic Entity- A Case Report and Review of the Literature

被引:17
|
作者
Thakkar, Rohan G. [1 ]
Shah, Sumeet [1 ]
Dumbre, Amol [1 ]
Ramadwar, Mukta A. [2 ]
Mistry, Rajesh C. [1 ]
Pramesh, C. S. [1 ]
机构
[1] Tata Mem Hosp, Dept Surg Oncol, Div Thorac Surg, Bombay 400012, Maharashtra, India
[2] Tata Mem Hosp, Dept Pathol, Div Thorac Surg, Bombay 400012, Maharashtra, India
关键词
solitary fibrous tumour; benign mesothelioma; Doege Potter syndrome; intrathoracic pleural tumour; CLINICAL BEHAVIOR; BENIGN; MESOTHELIOMA;
D O I
10.5761/atcs.cr.10.01589
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 43-year-old woman presented to us with progressive breathlessness, dry cough and weight loss. A chest radiograph showed homogeneous opacification of the entire left hemithorax. A contrast enhanced computed tomography (CECT) scan of the thorax showed a large intrathoracic mass occupying almost the entire left hemithorax and appeared grossly inoperable. A transcutaneous CT guided tru-cut biopsy revealed a solitary fibrous tumour. We reviewed the CT scans based on the biopsy report, and, in retrospect, the mediastinal vessels seemed more stretched and pushed by the tumor rather than directly infiltrated by it. We performed an exploratory thoracotomy and to our surprise, were able to dissect the mass quite easily off the mediastinum. She had an uneventful postoperative recovery, and the final histopathology confirmed a solitary fibrous tumor. We report this case to emphasize that a cursory clinico-radiological interpretation can dissuade surgical intervention in these patients.
引用
收藏
页码:400 / 403
页数:4
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