Distinct Ultrasound Features of Giant Solitary Fibrous Tumour of the Pleura: A Case Report

ABSTRACT Solitary fibrous tumour of the pleura (SFTP) accounts for < 5% of pleural tumours, and the ultrasound (US) features of giant SFTP (> 20 cm) remain unknown. We present the case of a woman diagnosed with giant SFTP associated with Doege–Potter syndrome, who experienced dyspnea and recur...

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Main Authors: Charles Wong, Chun‐Kei Cheung, Hei‐Shun Cheng, Pui‐Hing Chiu, Chun‐Wai Tong, Flora Pui‐Ling Miu
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:Respirology Case Reports
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Online Access:https://doi.org/10.1002/rcr2.70224
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author Charles Wong
Chun‐Kei Cheung
Hei‐Shun Cheng
Pui‐Hing Chiu
Chun‐Wai Tong
Flora Pui‐Ling Miu
author_facet Charles Wong
Chun‐Kei Cheung
Hei‐Shun Cheng
Pui‐Hing Chiu
Chun‐Wai Tong
Flora Pui‐Ling Miu
author_sort Charles Wong
collection DOAJ
description ABSTRACT Solitary fibrous tumour of the pleura (SFTP) accounts for < 5% of pleural tumours, and the ultrasound (US) features of giant SFTP (> 20 cm) remain unknown. We present the case of a woman diagnosed with giant SFTP associated with Doege–Potter syndrome, who experienced dyspnea and recurrent hypoglycemia. Chest x‐ray revealed a large left hemithorax opacity, initially misdiagnosed as massive pleural effusion, leading to an inappropriate thoracentesis. Subsequent US demonstrated a large heterogeneous mass with intralesional cystic changes and calcifications, which lacks respiratory movement. Computed tomography showed a 27 cm × 15 cm × 12 cm left pleural mass. US‐guided biopsy confirmed SFTP. Complete surgical resection resolved all symptoms, including hypoglycemia. This case highlights the distinct US features of giant SFTP, which differ from smaller SFTP reported in the literature. Awareness of the variable US characteristics of SFTP across different sizes can enhance accurate diagnosis and facilitate management.
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publishDate 2025-06-01
publisher Wiley
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series Respirology Case Reports
spelling doaj-art-2148d94c1b5c4f51869e2a0b4b7dfc3f2025-08-20T03:27:10ZengWileyRespirology Case Reports2051-33802025-06-01136n/an/a10.1002/rcr2.70224Distinct Ultrasound Features of Giant Solitary Fibrous Tumour of the Pleura: A Case ReportCharles Wong0Chun‐Kei Cheung1Hei‐Shun Cheng2Pui‐Hing Chiu3Chun‐Wai Tong4Flora Pui‐Ling Miu5Department of Medicine Pamela Youde Nethersole Eastern Hospital Hong KongDepartment of Pathology Pamela Youde Nethersole Eastern Hospital Hong KongDepartment of Medicine Pamela Youde Nethersole Eastern Hospital Hong KongDepartment of Medicine Pamela Youde Nethersole Eastern Hospital Hong KongDepartment of Medicine Pamela Youde Nethersole Eastern Hospital Hong KongDepartment of Medicine Pamela Youde Nethersole Eastern Hospital Hong KongABSTRACT Solitary fibrous tumour of the pleura (SFTP) accounts for < 5% of pleural tumours, and the ultrasound (US) features of giant SFTP (> 20 cm) remain unknown. We present the case of a woman diagnosed with giant SFTP associated with Doege–Potter syndrome, who experienced dyspnea and recurrent hypoglycemia. Chest x‐ray revealed a large left hemithorax opacity, initially misdiagnosed as massive pleural effusion, leading to an inappropriate thoracentesis. Subsequent US demonstrated a large heterogeneous mass with intralesional cystic changes and calcifications, which lacks respiratory movement. Computed tomography showed a 27 cm × 15 cm × 12 cm left pleural mass. US‐guided biopsy confirmed SFTP. Complete surgical resection resolved all symptoms, including hypoglycemia. This case highlights the distinct US features of giant SFTP, which differ from smaller SFTP reported in the literature. Awareness of the variable US characteristics of SFTP across different sizes can enhance accurate diagnosis and facilitate management.https://doi.org/10.1002/rcr2.70224Doege–Potter syndromegianthypoglycemiasolitary fibrous tumour of the pleuraultrasound
spellingShingle Charles Wong
Chun‐Kei Cheung
Hei‐Shun Cheng
Pui‐Hing Chiu
Chun‐Wai Tong
Flora Pui‐Ling Miu
Distinct Ultrasound Features of Giant Solitary Fibrous Tumour of the Pleura: A Case Report
Respirology Case Reports
Doege–Potter syndrome
giant
hypoglycemia
solitary fibrous tumour of the pleura
ultrasound
title Distinct Ultrasound Features of Giant Solitary Fibrous Tumour of the Pleura: A Case Report
title_full Distinct Ultrasound Features of Giant Solitary Fibrous Tumour of the Pleura: A Case Report
title_fullStr Distinct Ultrasound Features of Giant Solitary Fibrous Tumour of the Pleura: A Case Report
title_full_unstemmed Distinct Ultrasound Features of Giant Solitary Fibrous Tumour of the Pleura: A Case Report
title_short Distinct Ultrasound Features of Giant Solitary Fibrous Tumour of the Pleura: A Case Report
title_sort distinct ultrasound features of giant solitary fibrous tumour of the pleura a case report
topic Doege–Potter syndrome
giant
hypoglycemia
solitary fibrous tumour of the pleura
ultrasound
url https://doi.org/10.1002/rcr2.70224
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