eISSN: 1897-4309
ISSN: 1428-2526
Contemporary Oncology/Współczesna Onkologia
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SCImago Journal & Country Rank
3/2013
vol. 17
 
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abstract:
Case report

A 39-year-old man with dyspnoea, low forced expiratory volume and a large mass of the left hemithorax

Zhi-Gang Sun
,
Xiang-Yan Liu
,
Zhou Wang
,
Bao-Zhong Shan
,
Min Zhang
,
Zhe Li

Wspolczesna Onkol 2013; 17 (3): 324–326
Online publish date: 2013/06/28
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In patients with intrathoracic neoplasms, low forced expiratory volume (FEV1) can preclude surgical treatment. Here, we present a case of a giant solitary fibroma of the pleura (SFTP) successfully treated by surgical removal in spite of low FEV1. A 39-year-old male patient was referred to our hospital with dyspnoea and chest distress. Computed tomography (CT) showed a large mass in the left chest. Spirometry showed FEV1 1.4 L (39% of the expected value). Computed tomography scan-guided transcutaneous aspiration biopsy was performed on the patient, and microscopic examination of the specimen revealed spindle tumor cells with a background of abundant collagen. Complete surgical resection was accomplished. The tumor was large and encapsulated. It measured 28 cm  20 cm  18 cm. The definitive diagnosis obtained by histopathology after resection was benign SFTP. The patient felt no dyspnoea at discharge. Surgical treatment of SFTP should be considered even in patients with a huge tumor and with increased post-operative risk.
keywords:

dyspnoea, forced expiratory volume, solitary fibroma of the pleura

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