Complete Surgical Excision of A Challenging Giant Intrathoracic Mass—Solitary Fibrous Tumor
Giant Intrathoracic Solitary Fibrous Tumor: A Surgical Challenge
Abstract
Background: Solitary fibrous tumors are rare mesenchymal tumors that remain asymptomatic and are
diagnosed incidentally. They grow at a slow rate and expand to giant size by the time of their presentation.
Introduction: This is a case of a female who presented with exertional dyspnea, orthopnea and dull chest
pain for 4-5 years. Clinical examination showed reduced movement over the left chest along with dull
percussion note and absent breath sounds. Computed tomography showed a large 20*11*12cm heterogeneous opacity occupying the left hemi thorax. Biopsy was inconclusive. A complete excision of the mass was achieved. Intraoperatively, mass was consistent with radiological findings, however, was adherent to surrounding structure with atelectasis. Patient had an uneventful recovery period with histopathological evidence of solitary fibrous tumor.
Conclusion: Complete surgical excision remains the mainstay of treatment for solitary fibrous tumors and
can achieve favorable outcomes.
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