Giant solitary fibrous tumor of the pleura

Abstract

Introduction: Solitary fibrous tumors of the pleura (SFTP) are rare mesenchymal tumors representing <5% of all tumors of the pleura. Literature reveals only two case series and a few solitary reports. Case report: A 68-year-old male presented to our hospital after experiencing exertional dyspnea. A chest CT revealed a giant heterogeneous mass. CT-guided transthoracic core needle biopsy demonstrated SFTP. The well-circumscribed, encapsulated resected mass was measured to be 30 cm × 21 cm × 15 cm and weighed 6900 g. Discussion: SFTP are a rare pathology of the pleural cavity, which most of the time develop from submesothelial fibroblasts of the visceral pleura. Due to their non-characteristic clinical picture, SFTP are usually diagnosed in the later stages of the development. A significant issue in the management of giant SFTP is radical resection of the tumor to relieve compression of the lung parenchyma and other mediastinal structures. Conclusion: SFTP are rare neoplasms that fortunately are benign 80% of the time. Only a few cases of giant SFTP that cover almost the entire pleural space are described in the literature. This report represents one of the largest resected SFTP reports in the literature.

Doege-Potter Syndrome with a Benign Solitary Fibrous Tumor: A Case Report and Literature Review

“…SFT of the pleura (SFTP) is a rare subset of pleural tumors that constitute <5% of all pleural neoplasms originating from the submesothelial fibroblasts of the visceral pleura. These are often slow-growing, indolent neoplasms (80–85%) with low malignant potential [4]. Han et al [5] reported that SFTP was the most common type of SFT associated with Doege-Potter syndrome.…”

Tumor fibroso solitario gigante de pleura

“…En Latinoamérica existen pocas series de casos de esta enfermedad 6 . Puede ser encontrados en un rango de edad de 5 a 87 años, con una frecuencia mayor hacia la 5. a -6. a década de la vida y con ligero predominio en el sexo femenino 7 .…”

Tumor fibroso solitario gigante de pleura. Serie de casos

“…Previamente se ha denominado mesotelioma localizado, fibroma submesotelial y hemangiopericitoma. 1 7 8 Usualmente, se diagnostica en la sexta o séptima década de la vida y tiene una leve predilección por la población femenina. Su incidencia anual es de 2,8 casos por 100.000 habitantes.…”