Malignant Solitary Fibrous Tumor of Pleura Accompanied with First Symptoms of Chest Pain and Hemoptysis: A Case Report

Solitary fibrous tumor of the pleura (SFTP) is a rare tumor especially presents malignant features. Such symptoms of hemoptysis and dyspnea were rarely seen and take 5% and 4% respectively in malignant SFTP. A 26-year-old Chinese man, presenting with hemoptysis in the emergency room, was hospitalize...

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Bibliographic Details
Published in:Annals of Thoracic and Cardiovascular Surgery 2012/05/20, Vol.18(3), pp.251-255
Main Authors: Leng, Xue-Feng, Xian, Lei, Qin, Jia-Jin, Lei, Bin-Feng
Format: Article
Language:English
Subjects:
Adult
Biomarkers, Tumor - analysis
Chest Pain - etiology
Dyspnea - etiology
hemoptysis
Hemoptysis - etiology
Humans
Immunohistochemistry
Male
rapid growth
solitary fibrous tumor
Solitary Fibrous Tumor, Pleural - chemistry
Solitary Fibrous Tumor, Pleural - complications
Solitary Fibrous Tumor, Pleural - diagnosis
Solitary Fibrous Tumor, Pleural - surgery
Thoracotomy
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Tumor Burden
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Summary:Solitary fibrous tumor of the pleura (SFTP) is a rare tumor especially presents malignant features. Such symptoms of hemoptysis and dyspnea were rarely seen and take 5% and 4% respectively in malignant SFTP. A 26-year-old Chinese man, presenting with hemoptysis in the emergency room, was hospitalized because of dyspnea. The X-ray examination revealed a tumor in the right chest cavity. The patient refused treatment, and the tumor grew rapidly, which complicated the symptoms of the patient. En-bloc excision of tumor plus the involved lung was performed. There was at least a 5000-ml mixture of blood and tumor tissue in the right chest cavity because of continuous bleeding, leading to a tumor capsule split. Histopathology and Immunohistochemistry identified the tumor as malignant SFTP, but CD34 was negative. In this case, the tumor grew rapidly and aggressively in two months, indicating that close follow-up and active treatment are needed.
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.cr.11.01714