Asportazione chirurgica completa di una enorme massa toracica riferibile a tumore fibroso localizzato simulante una neoplasia di alto grado di malignità.

Translated title of the contribution: Complete surgical resection of a huge thoracic mass consisting in a localized fibrous tumor simulating a high-grade malignant neoplasm

P. P. Massone, Barbara Conti, Cosimo Lequaglie, Franca Ferro, Ignazio Cataldo

Research output: Contribution to journalArticlepeer-review

Abstract

Solitary fibrous tumour is an infrequent neoplasm generally arising from the parietal and visceral pleura. The diagnosis may be difficult in the presence of a history of malignant disease owing to the different presentations and to radiological findings of evident invasiveness. The authors report the case of a woman with a right giant fibrous solitary tumour of the pleura twenty years after a subcutaneous mastectomy with axillary dissection and radiation therapy for breast cancer. The biopsy diagnosis was consistent with a probable solitary fibrous tumour of the pleura but the discrepancy with the radiological images and the difficult differential diagnosis versus a malignant sarcoma, possibly radio-induced, prompted us to verify the real features of the disease. The patient was submitted to a right anterolateral thoracotomy and partial sternotomy and the giant mass was resected enbloc with the phrenic nerve and diaphragm which proved to be the only structures tightly adhering to the neoplasm. Histological examination confirmed the diagnosis of a solitary fibrous tumour of the pleura. The patient is still alive and disease-free 30 months after the surgical operation. Fibrous solitary tumour is a disease generally characterised by a good prognosis but in particular cases, with unmistakable radiological findings of invasiveness, a precise diagnosis must be obtained in order to choose the most appropriate therapy.

Translated title of the contributionComplete surgical resection of a huge thoracic mass consisting in a localized fibrous tumor simulating a high-grade malignant neoplasm
Original languageItalian
Pages (from-to)119-123
Number of pages5
JournalChirurgia Italiana
Volume55
Issue number1
Publication statusPublished - Jan 2003

ASJC Scopus subject areas

  • Surgery

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