Solitary fibrous tumour of the pleura presenting as a giant intrathoracic mass

Solitary fibrous tumours (SFTs) are relatively rare neoplasms thought to originate from the submesothelial connective tissue. SFTs have been described in a variety of sites, including the pleura, orbit, lower respiratory tract, peritoneal cavity and heart. These neoplasms are usually benign, though...

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Bibliographic Details
Published in:BMJ case reports 2017-06, Vol.2017, p.bcr-2017-220695
Main Authors: Raafat, Eleeza, Karunasiri, Deepthi, Kamangar, Nader
Format: Article
Language:English
Subjects:
Abdomen
Angiography - methods
Biopsy
Case reports
Cytoplasm
Dyspnea
Embolization, Therapeutic
Humans
Male
Medical imaging
Middle Aged
Ostomy
Patients
Pleura - diagnostic imaging
Pleura - pathology
Solitary Fibrous Tumor, Pleural - diagnosis
Solitary Fibrous Tumor, Pleural - diagnostic imaging
Solitary Fibrous Tumor, Pleural - therapy
Substance abuse treatment
Thoracic Neoplasms - diagnosis
Thoracic Neoplasms - diagnostic imaging
Thoracic Neoplasms - pathology
Thoracotomy
Tomography, X-Ray Computed - methods
Tumors
Unusual Presentation of More Common Disease/Injury
USA/Canada
White
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Summary:Solitary fibrous tumours (SFTs) are relatively rare neoplasms thought to originate from the submesothelial connective tissue. SFTs have been described in a variety of sites, including the pleura, orbit, lower respiratory tract, peritoneal cavity and heart. These neoplasms are usually benign, though locally aggressive, and metastatic behaviour has been observed in some cases. We describe a case of a 61-year-old man presenting with weight loss, poor appetite, malaise, worsening dyspnoea on exertion and lower extremity oedema, who was found to have a gigantic—21×21 cm—tumour occupying the entire right hemithorax causing compression and displacement of the mediastinum and liver. Transthoracic CT-guided biopsy revealed SFT of the pleura. The patient underwent preoperative angiography and embolisation of the tumour followed by successful surgical resection via thoracotomy.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-220695