Document Detail


Giant solitary fibrous tumour of pleura -an uncommon intrathoracic entity- a case report and review of the literature.
MedLine Citation:
PMID:  21881330     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Rohan G Thakkar; Sumeet Shah; Amol Dumbre; Mukta A Ramadwar; Rajesh C Mistry; C S Pramesh
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  17     ISSN:  2186-1005     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2011  
Date Detail:
Created Date:  2011-09-01     Completed Date:  2012-01-11     Revised Date:  2012-06-18    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  400-3     Citation Subset:  IM    
Affiliation:
Division of Thoracic Surgery, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India.
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MeSH Terms
Descriptor/Qualifier:
Adult
Biopsy
Female
Humans
Immunohistochemistry
Pleural Neoplasms / complications,  diagnosis*,  surgery
Positron-Emission Tomography
Solitary Fibrous Tumor, Pleural / complications,  diagnosis*,  surgery
Thoracotomy
Tomography, X-Ray Computed
Treatment Outcome

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