Pedunculated Localized Fibrous Tumor of the Pleura Presenting as a Moving Chest Mass

Akman, Canan; Cetinkaya, Serap; Ulus, Sıla; Kaynak, Kamil; B, Öz

doi:10.1097/01.smj.0000145392.84271.86

Cited by 15 publications

(9 citation statements)

References 9 publications

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“…According to one series, 43% (80/185) of solitary fibrous tumors were pedunculated and 57% (105/185) were classified as the sessile type [2]. Pedunculated tumors sometimes show positional changes according to the posture and respiration [5][6][7]. In one case, the pedicle of the tumor became twisted, resulting in detachment of the tumor from the pleura and formation of a mobile body [8].…”

Section: Discussionmentioning

confidence: 99%

Pedunculated solitary fibrous tumor of the pleura manifesting as a migrating chest mass: report of a case

et al. 2011

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We report the case of solitary fibrous tumor of the pleura, which appeared to change its location. A computed tomography (CT) scan done at a previous hospital showed a tumor in the posterior mediastinum, suggesting that it was neurogenic. However, on the initial preoperative CT scan, the tumor seemed to have moved anteriorly, but when contrast material was injected; the tumor appeared in its original position. Video-assisted thoracoscopic surgery (VATS) revealed a pedunculated and free-moving tumor, originating from the visceral pleura. We diagnosed this unusual migrating tumor as a pedunculated solitary fibrous tumor of the pleura.

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Section: Discussionmentioning

confidence: 99%

Pedunculated solitary fibrous tumor of the pleura manifesting as a migrating chest mass: report of a case

et al. 2011

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“…15 Diagnostic tools, such as chest radiography, CT scanning, and magnetic resonance imaging, are helpful but not decisive in establishing the diagnosis. 15 Diagnostic tools, such as chest radiography, CT scanning, and magnetic resonance imaging, are helpful but not decisive in establishing the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Video-Assisted Thoracoscopic Surgery (VATS) for Patients with Solitary Fibrous Tumors of the Pleura

Lee

Cai

Wang

et al. 2010

Journal of Thoracic Oncology

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“…Obsolete and confusing terms for SFT are localised or benign fibrous mesothelioma or benign localised fibroma [11]. A vascular peduncle may be present, especially in larger SFTs [12]. The morphology and the negative CD34 and Bcl-2 immunostaining made this diagnosis unlikely [13,14].…”

Section: Discussionmentioning

confidence: 99%

A 20-year-old male with thoracic pain and a lower thoracic mass

Jong

Graaf²,

Jagt³

et al. 2005

European Respiratory Journal

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A 20-yr-old Caucasian male construction worker had a previous history of a road traffic accident 3 yrs before presentation. A computed tomography (CT) scan of the thoracic spine was carried out to exclude vertebral damage. No evidence of vertebral bone damage or other lesions was seen, and the patient recovered without sequelae.A week before presentation, he noticed a stabbing pain in his right hemithorax, without dyspnoea. The pain persisted, and the patient was referred, by his general practitioner, for a chest radiograph ( fig. 1). Based on these results, the patient was referred to a general hospital for further diagnostic tests. A CT scan of thorax and abdomen (not shown) revealed a large mass, which was interpreted to arise in the right upper abdomen, probably originating from the liver. A malignant tumour, or a metastatic lesion, was suspected and the patient was referred to University Medical Center Groningen (Groningen, The Netherlands).The patient did not suffer from dyspnoea, cough or haemoptysis and there was no history of fever, weight loss, fatigue or excessive sweating. There were no neurological or gastrointestinal complaints. The patient was a nonsmoker, and did not use any medication.On physical examination, a healthy appearing, haemodynamically stable young male, of normal posture was seen. On percussion, a dull sound was found in the right lower zone of the chest. Auscultation revealed normal cardiac sounds without murmurs, and normal breathing sounds on the left side and upper right side of the chest. Abdominal examination revealed no palpable masses or other abnormalities. No palpable lymph nodes were present. Additional physical examination revealed no other abnormalities.Laboratory tests only showed a slightly elevated serum alkaline phosphatase of 174 U?L -1 (normal value: 13-120 U?L -1 ). Serum lactate dehydrogenase, a-fetoprotein and b-human chorionic gonadotropin values were all normal; therefore, an extra-gonadal germ cell tumour was unlikely.On revision of the CT scan, there was doubt regarding the hepatic origin of the mass. Therefore, abdominal ultrasonography was performed. No focal lesions in the liver parenchyma were observed, and the liver blood flow appeared intact. In the right thoracic region, a mass was seen with variable echogenicity and rich vascularisation. Due to the high degree of vascularisation observed on the abdominal ultrasonography, no percutaneous biopsy was performed. A CT angiography was performed: first, to narrow the differential diagnosis, and, secondly, to provide the thoracic surgeon with more detailed information about vascularisation ( fig. 2). At bronchoscopy, no endobronchial abnormalities were seen. Cytological examination of the bronchial lavage showed no signs of malignancy. A bone scan was normal.Exploratory thoracotomy revealed a tumour originating from the right dorsal region, lateral from the vertebral column. A surgeon was able to remove the tumour (figs 3 and 4). Eur Respir J 2005; 26: 740-743

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Pedunculated Localized Fibrous Tumor of the Pleura Presenting as a Moving Chest Mass

Cited by 15 publications

References 9 publications

Pedunculated solitary fibrous tumor of the pleura manifesting as a migrating chest mass: report of a case

Pedunculated solitary fibrous tumor of the pleura manifesting as a migrating chest mass: report of a case

Video-Assisted Thoracoscopic Surgery (VATS) for Patients with Solitary Fibrous Tumors of the Pleura

A 20-year-old male with thoracic pain and a lower thoracic mass

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