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Eur J Cardiothorac Surg 1998;14:98-100
© 1998 Elsevier Science NL

Case report

Extrapericardial solitary fibrous tumour of the pericardium

^a Department of Thoracic Surgery, National Cancer Institute, Milan, Italy
^b Department of Pathology, National Cancer Institute, Milan, Italy

Received 13 October 1997; received in revised form 23 March 1998; accepted 15 April 1998.

Corresponding author. Divisione OCT, Istituto Nazionale Tumori, Via G. Venezian 1, 20133 Milan, Italy. Tel.: +39 2 2390367; fax: +39 2 2360486/76009499.

Solitary fibrous tumour (SFT) occurs most commonly in the pleura and is extremely rare in the pericardium. The authors report a case of a 60-year-old man in whom a large mediastinal mass was accidentally discovered. Computed tomography showed involvement of the left anterosuperior mediastinum with displacement of the trachea, large vessels and oesophagus; histopathological findings after complete resection of the neoplasia demonstrated an SFT of the pericardium, the first reported case with extrapericardial pattern of growth. A review of the literature on SFTs of the pericardium is provided.

Key Words: Solitary fibrous tumour • Localized mesothelioma • Pericardial tumour