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Unusual presentation of more common disease/injury
CASE REPORT
Solitary fibrous tumour of the pleura presenting as a giant intrathoracic mass
  1. Eleeza Raafat1,
  2. Deepthi Karunasiri2,
  3. Nader Kamangar3
  1. 1Department of Medicine, UCLA Medical Center Olive View, Sylmar, California, USA
  2. 2Department of Pathology and Laboratory Medicine, UCLA Medical Center Olive View, Pathology and Laboratory Medicine, University of California, Los Angeles David Geffen, School of Medicine, Sylmar, California, USA
  3. 3Department of Medicine, UCLA Medical Center Olive View, University of California, Los Angeles David Geffen, School of Medicine, Medicine, Sylmar, California, USA
  1. Correspondence to Professor Nader Kamangar, kamangar{at}ucla.edu

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.

  • Radiology
  • Pathology

https://doi.org/10.1136/bcr-2017-220695

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    Footnotes

    • Contributors ER: Completed the initial draft of this manuscript. DK: Completed the pathological discussion and legends. NK: Revised and completed the final draft of the manuscript, the radiographic interpretation and oversight of the entire manuscript composition. All authors read and approved the final manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.