Eur J Cardiothorac Surg 1999;14:340-341
© 1999 Elsevier Science NL
Images in cardio-thoracic surgery |
Giant benign localized fibrous tumor of the pleura
Enrico Ruffini,
Andrea Parola,
Andrea Agostinucci,
Giuliano Maggi
Department of Thoracic Surgery, University of Torino, Via Genova 3, 10126 Torino, Italy
Received 19 May 1998;
accepted 30 June 1998.
Corresponding author. Tel.: +39 11 6335919; fax: +39 11 6960170; e-mail: ruffini@golgi.molnette.unito.it
Case description
A 68-year-old man was referred to our Hospital for dyspnea on exertion and chronic cough. Chest CT scan (
Fig. 1
) revealed a huge mass filling the entire left hemithorax without radiological signs of local infiltration. A left thoracotomy was undertaken and a 20x10 cm encapsulated tumor arising from a pedicle from the visceral pleura was removed (
Fig. 2
); the left lung was atelectatic but returned to a normal size after resection of the mass. Histology revealed a benign localized fibrous tumor of the pleura. Postoperative course was uneventful and the patient was discharged after 7 days with a normal chest X-ray.
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Fig. 2. Operative specimen and cut section of the tumor showing a dense whorled fibrous tissue with scattered cyst-like structures and rare calcifications.
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