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Eur J Cardiothorac Surg 2006;30:939
© 2006 Elsevier Science NL


Images in cardio-thoracic surgery

An enormous asymptomatic solitary fibrous tumour of the pleura

Alfonso Fiorello, Giovanni Vicidomini, Vincenzo Pastore, Mario Santini*

Thoracic Surgery—Second University of Naples, Italy

Received 20 June 2006; received in revised form 11 September 2006; accepted 17 September 2006.

* Corresponding author. Address: Chirurgia Toracica—Seconda Università di Napoli, Piazza Miraglia 2, I-80138 Naples, Italy. Tel.: +39 081 5665228; fax: +39 081 5665230. (Email: mario.santini{at}unina2.it).

Key Words: Localised • Solitary • Fibrous • Pleural tumour

A 65-year-old man, asymptomatic, discovered incidentally at chest radiograph an enormous mass that occupied the left hemithorax, causing lung collapse and mediastinal shift (Fig. 1 ). The tumour was encapsulated, without invasion of mediastinal structures, with a vascular peduncle at the posterior surface. It was completely removed through thoracotomy (Fig. 2 ).


Figure 1
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Fig. 1. The MRI showed an enormous mass that occupied the anterior mediastinum with high vascularity, compression of the left lung and pulmonary artery.

 

Figure 2
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Fig. 2. The tumor was well capsulated; size: 30 cm x 19 cm x 18 cm, weight: 4050 g.

 





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