Solitary fibrous tumor of the pleura presenting with syncope episodes when coughing.

World Journal of Surgical Oncology
Luigi SantambrogioUgo Cioffi

Abstract

Solitary fibrous tumor of the pleura is a rarely encountered clinical entity which may have different clinical pictures. Although the majority of these neoplasms have a benign course, the malignant form has also been reported. We herein describe a case of 72 year-old man with head, facial, and thoracic traumas caused by neurally-mediated situational syncope when coughing. The diagnostic work-up including chest x-ray, CT and PET, revealed a large solitary mass of the left hemithorax. Radical surgical resection of the mass was performed through a left lateral thoracotomy and completed with a wedge resection of the lingula. Hystological examination of the surgical specimen showed an encapsulated mass measuring 12 x 11.5 x 6 cm consistent with a solitary fibrous tumor of the pleura. It's surgical removal definitively resolved the neurologic manifestations. The patient had no postoperative complications. At two years follow-up the patient is free from recurrence and without clinical manifestations. In our case its resection definitively resolved the episodes of situational syncope due, in our opinion, to the large thoracic mass compressing the phrenic nerve.

References

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Citations

Feb 22, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Walid Abu Arab
Jun 11, 2011·Interactive Cardiovascular and Thoracic Surgery·Alessandro PalleschiLuigi Santambrogio
Mar 7, 2014·Abdominal Imaging·Aisheng DongJianping Lu
Nov 19, 2013·Respiratory Medicine·Peter V DicpinigaitisConstantine Farmakidis
Oct 1, 2011·Case Reports in Medicine·A ChafikY Qamouss
Oct 25, 2013·Clinical Nuclear Medicine·Aisheng DongYong Cui

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Methods Mentioned

BETA
surgical resection
MDS

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