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Solitary fibrous tumour of the pleura: a rare cause of digital clubbing
  1. Bina Devji Vekaria1,
  2. James Myerson2,
  3. Thomas Routledge3 and
  4. Ting Ting Zhang1
  1. 1Department of Radiology, University Hospitals Sussex NHS Foundation Trust, Brighton, UK
  2. 2Respiratory Medicine, University Hospitals Sussex NHS Foundation Trust, Brighton, UK
  3. 3Thoracic Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK
  1. Correspondence to Dr Bina Devji Vekaria; bina.vekaria1{at}


A woman in her early 70s was found to have incidental finger clubbing at a fracture clinic consultation for an unrelated problem. She reported no associated respiratory symptoms and was referred back to her General Practitioner for further investigation. A chest radiograph revealed a large left-sided mass. This was characterised as a pleural-based mass on CT, resulting in localised atelectasis and mediastinal shift. A CT guided biopsy revealed histology consistent with a solitary fibrous tumour of the pleura and the patient was referred for thoracotomy and resection.

  • respiratory cancer
  • radiology
  • cardiothoracic surgery

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  • Contributors BDV and TTZ are responsible for the collation of information and writing of this report, they were also involved in the diagnostic care of the patient. JM was involved in patient care and pathway. TR provided direct care and also provided postsurgical images.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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