The extrapleural space

Felson, Benjamín

doi:10.1016/0037-198x(77)90046-3

Cited by 17 publications

(3 citation statements)

References 15 publications

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“…A preoperative diagnosis of an SFTP is challenging because of its rarity and the lack of specific radiological findings. We suspected that the mass was derived from the chest wall because of the extrapleural sign in the present case [7] . A soft tissue sarcoma was the most likely diagnosis, and a wide local resection with the chest wall was proposed during the initial workup [8] , [9] .…”

Section: Discussionmentioning

confidence: 71%

Solitary fibrous tumor of the pleura mimicking a soft tissue sarcoma of the chest wall

Watanabe

Takabe

Iizuka

et al. 2022

International Journal of Surgery Case Reports

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Introduction and importance Solitary fibrous tumors of the pleura (SFTPs) present a diagnostic challenge. We herein report a successful case mimicking a soft tissue sarcoma of the chest wall by a meticulous evaluation of the conventional images. Case presentation A 51-year-old woman presented with a left thoracic mass. The mass exhibited an extrapleural sign, which suggested a chest wall origin. However, the mass was found to be located more caudally by additional computed tomography. This positional change suggested that the mass was pedunculated from the visceral pleura, and an SFTP was suspected. The mass was found to originate from the visceral pleura of the left lower lobe and a pathological diagnosis of an SFTP was confirmed. Clinical discussion Although a positional shift with a postural change or the respiratory phase is a well-known characteristic radiological finding, such an intentional imaging study is available only for suspicious cases of SFTPs. Conclusions SFTPs pose a diagnostic challenge because of their rarity and the lack of specific radiological findings. Even conventional radiological images can be diagnostic by performing a meticulous evaluation regardless of any specific diagnosis being initially assumed.

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Section: Discussionmentioning

confidence: 71%

Solitary fibrous tumor of the pleura mimicking a soft tissue sarcoma of the chest wall

Watanabe

Takabe

Iizuka

et al. 2022

International Journal of Surgery Case Reports

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“…However because the extrapleural space is subjected to negative intrathoracic pressure, it is a preferential site for hematoma formatlon.l" Lesions involving the extrapleural region depending on its projection produce a characteristic shadow on the chest X_ray. 16,19 An apical or lateral hematoma will show an extremely well defined convex contour facing the lung because of the displacement of the pleura towards the lung. The pleural cover smoothens out the surface irregularities so that it has a better definition than a pulmonary lesion.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical and radiological features of extrapleural hematoma has been described mainly in cases of trauma, ruptured aneurysm, parietal pleurectomy and sympathectomy. 18,19 The extrapleural space is represented in the normal individual by a potential line of cleavage in the loose connective tissue between the parietal pleura and the thoracic cage.I? The parietal pleura is adherent to the internal surface of the thoracic wall and is not readily stripped away.…”

Section: Discussionmentioning

confidence: 99%