A giant pleural fibrous tumor

Luckraz, Heyman; Ehsan, Saima; Gibbs, A R; Butchart, Eric G.

doi:10.1016/j.jtcvs.2005.04.035

Cited by 7 publications

(11 citation statements)

References 4 publications

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“…A malignant transformation of benign LFTP has been sometimes reported and malignant features in recurrences of originally benign tumors have been described [2,5,7]. Based on this evidence, surgical resection should always be recommended for patients with acceptable operative risk.…”

Section: Discussionmentioning

confidence: 97%

“…Most of these tumors are found incidentally on routine chest radiograph, since related symptoms are not present in over 50% of the cases [3], especially when the lesion is small sized. Symptoms tend to be more common in larger lesions and may include local symptoms such as dyspnea, chest pain and chronic cough as well as systemic symptoms including fever, weight loss, hypertrophic pulmonary osteo-arthropathy with or without digital clubbing, and more rarely hypoglycemia [1,[3][4][5][6][7]. Sporadic cases of hemoptysis and galactorrhea have been reported [1].…”

Section: Discussionmentioning

confidence: 99%

“…Sporadic cases of hemoptysis and galactorrhea have been reported [1]. Complete regression of all symptoms is systematically observed after radical surgical treatment [1][2][3][4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

“…Tumor production of insulin like active substances and insulin like growth factor have been recently indicated as the most likely mechanisms responsible for hypoglycemic events [1,3,6,7]. The hypothesis of an increased glucose consumption by the tumor has been also substained as one of the possible explanation of the hypoglycemic phenomenon [1].…”

Section: Discussionmentioning

confidence: 99%

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The evolution of a pleural nodule into a giant fibrous tumor associated with hypoglycemic coma

D’Andrilli

Andreetti

Ibrahim

et al. 2007

European Journal of Cardio-Thoracic Surgery

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We hereby present the exceptional case of hypoglycemic coma associated with a giant benign localized fibrous tumor of the pleura (LFTP). A 79-year-old woman was found to have a small peripheral nodular lesion in the right hemithorax 7 years ago. A fine needle aspiration biopsy provided a diagnosis of LFTP, but the patient refused surgery. Six years later hypoglycemic coma and respiratory insufficiency appeared in association with a giant mass completely filling the right chest and shifting the mediastinum contralaterally. The tumor was completely resected, and complete relief of the hypoglycemic and respiratory symptoms was achieved. The patient is in good metabolic and respiratory conditions and disease-free 14 months after the operation.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The evolution of a pleural nodule into a giant fibrous tumor associated with hypoglycemic coma

D’Andrilli

Andreetti

Ibrahim

et al. 2007

European Journal of Cardio-Thoracic Surgery

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“…It occurs in both sexes but tends to be slightly predominant in women between the fifth and seventh decades of life, regardless of a history of smoking or asbestos exposure. Usually, it is of a benign nature, with a malignant form occurring in 12% of the reported cases [2,3]. Clinically, these tumors are usually asymptomatic, but non-specific symptoms such as cough, chest pain and dyspnea may occur as the tumor grows larger.…”

Section: Discussionmentioning

confidence: 99%

Pedunculated solitary fibrous tumor of the pleura manifesting as a migrating chest mass: report of a case

et al. 2011

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We report the case of solitary fibrous tumor of the pleura, which appeared to change its location. A computed tomography (CT) scan done at a previous hospital showed a tumor in the posterior mediastinum, suggesting that it was neurogenic. However, on the initial preoperative CT scan, the tumor seemed to have moved anteriorly, but when contrast material was injected; the tumor appeared in its original position. Video-assisted thoracoscopic surgery (VATS) revealed a pedunculated and free-moving tumor, originating from the visceral pleura. We diagnosed this unusual migrating tumor as a pedunculated solitary fibrous tumor of the pleura.

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