Solitary fibrous pleural tumor. A rare and challenging case

Saulat hasnain Fatimi, Hina Inam, Farida Karim Chagan, Usama Khalid Choudry

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)346-349
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume66
DOIs
Publication statusPublished - 2020
Externally publishedYes

Keywords

  • Benign lesion
  • En bloc resection
  • Solitary fibrous pleural tumor
  • Thoracic surgery

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