2005
DOI: 10.1055/s-2004-830471 View full text |Buy / Rent full text
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Abstract: A 42-year-old woman developed an exceedingly big, solitary fibrous tumor of the pleura (SFTP) that occupied the whole right thorax. She complained of worsening dyspnea as her right lung was completely compressed and the mediastinum was pushed to the left side. A successful resection was performed; after reassembly, the tumor measured 20 cm x 22 cm x 30 cm and weighed 5.2 kg. The squashed right lung reached 60 % re-expansion postoperatively and the patient is in good health at 38 months' follow-up.

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“…Hence, half-yearly radiologic control with CT scan during the initial 2 years after the resection and yearly thereafter is recommended 56 && , [57][58][59][60][61][62][63][64]. Moreover, in our opinion and in agreement with others [8,13,15,19,64], all patients with SFTP need long-term followup (more than 15 years) because of the possibility of late recurrences [37].…”
Section: Follow-up Caresupporting
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“…Hence, half-yearly radiologic control with CT scan during the initial 2 years after the resection and yearly thereafter is recommended 56 && , [57][58][59][60][61][62][63][64]. Moreover, in our opinion and in agreement with others [8,13,15,19,64], all patients with SFTP need long-term followup (more than 15 years) because of the possibility of late recurrences [37].…”
Section: Follow-up Caresupporting
“…1b). The size may vary from 1 to 36 cm in diameter, with a mean of 7-9 cm (Table 1), and can weigh as much as 5.2 kg [60].…”
Section: Pathology and Differential Diagnosismentioning
“…The size may vary from 1 to 36 cm in diameter, with a mean of 6 to 8 cm, and can weigh as much as 5.2 kg. 16,18 Size bears no relation to whether the tumor is benign, malignant, resectable, or curable.…”
Section: Pathologymentioning
“…25,27 Uncommonly, finger clubbing, hypertrophic pulmonary osteoarthropathy, and refractory hypoglycemia related to the production of an insulin-like growth factor have been reported. [28][29][30] There is no known etiologic agent and no link with tobacco or asbestos. 25 Most SFTs are well circumscribed, partially encapsulated, firm, tan-colored masses around 5 to 10 cm, although rare giant SFTs are reported at larger than 40 cm.…”
Section: Solitary Fibrous Tumormentioning