A Large Solitary Fibrous Tumor of the Pleura Associated with Massive Pleural Effusion: A Case Report and Review of the Literature

DOI

10.2991/dsahmj.k.190527.001How to use a DOI?

Keywords

Doege–Potter syndrome; pleural effusion; pleural neoplasm; solitary fibrous tumor

Abstract

Solitary fibrous tumor of the pleura (SFTP) is one of those rare thoracic tumors, especially large tumors occupying most of the thoracic cavity. We report a case of a 45-year-old female who presented with progressive shortness of breath, cough, and palpitation with minimal exertion. The patient was diagnosed to have pulmonary tuberculosis and was given treatment over 6 months before she was referred to our hospital with increasing dyspnea and high output pleural drainage via a thoracostomy tube. Pleural fluid analysis and true cut needle biopsy failed to confirm both previous and current diagnoses. Computed tomography (CT) of the chest showed a large left intrathoracic mass pushing the mediastinal structures to the right side of the chest. A bronchoscopy and explorative thoracotomy showed that the left pleural cavity was occupied by a large mass with multiple adhesions to the chest wall and the diaphragm. The patient underwent a successful removal of a tumor having a mass of 2.3 kg, with an uneventful postoperative recovery; the final histopathology confirmed a solitary fibrous tumor. We are reporting this case because of its rarity and benign histopathology despite the large tumor size. Only a few cases of tumor with such a large size and unexplained high output pleural effusion have been reported so far.

Copyright

© 2019 Dr. Sulaiman Al Habib Medical Group. Publishing services by Atlantis Press International B.V.

Open Access

This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - JOUR
AU  - Hussein Ahmed Lateef
AU  - Mutaz I.K. Fakhry Al-Khateeb
PY  - 2019
DA  - 2019/06/30
TI  - A Large Solitary Fibrous Tumor of the Pleura Associated with Massive Pleural Effusion: A Case Report and Review of the Literature
JO  - Dr. Sulaiman Al Habib Medical Journal
SP  - 8
EP  - 11
VL  - 1
IS  - 1-2
SN  - 2590-3349
UR  - https://doi.org/10.2991/dsahmj.k.190527.001
DO  - 10.2991/dsahmj.k.190527.001
ID  - Lateef2019
ER  -