A Large Solitary Fibrous Tumor of the Pleura Associated with Massive Pleural Effusion: A Case Report and Review of the Literature
Solitary fibrous tumor of the pleura (SFTP) is one of those rare thoracic tumors, especially large tumors occupying most of the thoracic cavity. We report a case of a 45-year-old female who presented with progressive shortness of breath, cough, and palpitation with minimal exertion. The patient was...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-06-01
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| Series: | Dr. Sulaiman Al Habib Medical Journal |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.2991/dsahmj.k.190527.001 |
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| Summary: | Solitary fibrous tumor of the pleura (SFTP) is one of those rare thoracic tumors, especially large tumors occupying most of the thoracic cavity. We report a case of a 45-year-old female who presented with progressive shortness of breath, cough, and palpitation with minimal exertion. The patient was diagnosed to have pulmonary tuberculosis and was given treatment over 6 months before she was referred to our hospital with increasing dyspnea and high output pleural drainage via a thoracostomy tube. Pleural fluid analysis and true cut needle biopsy failed to confirm both previous and current diagnoses. Computed tomography (CT) of the chest showed a large left intrathoracic mass pushing the mediastinal structures to the right side of the chest. A bronchoscopy and explorative thoracotomy showed that the left pleural cavity was occupied by a large mass with multiple adhesions to the chest wall and the diaphragm. The patient underwent a successful removal of a tumor having a mass of 2.3 kg, with an uneventful postoperative recovery; the final histopathology confirmed a solitary fibrous tumor. We are reporting this case because of its rarity and benign histopathology despite the large tumor size. Only a few cases of tumor with such a large size and unexplained high output pleural effusion have been reported so far. |
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| ISSN: | 2666-819X 2590-3349 |