Giant pleural fibroma with an abdominal vascular supply mimicking a pulmonary sequestration

Kaul, Pratibha; Kay, Samantha; Gaines, Peter A.; Suvarna, S. Kim; Hopkinson, David; Rocco, Gaetano

doi:10.1016/s0003-4975(03)00553-8

Cited by 10 publications

(8 citation statements)

References 9 publications

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“…Moreover, it is difficult to distinguish pulmonary fractionation from mediastinal tumors or SFTs. [3] Previous reports have indicated that a preoperative diagnosis of pulmonary fractionation disease favors a more conservative treatment approach due to the risk of damaging abnormal blood vessels during surgical intervention. [6] Nevertheless, surgical resection is frequently performed to differentiate SFT from other diseases, as described earlier.…”

Section: Discussionmentioning

confidence: 99%

Solitary fibrous tumor resembling pulmonary fractionation disease: A case report

et al. 2023

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Rationale: Preoperative differentiation between pulmonary fractionation and solitary fibrous tumors (SFTs) is challenging. Diaphragmatic primary tumors are relatively rare among SFTs, with limited reports of abnormal vascularity. Patient concerns: A 28-year-old male patient was referred to our department for surgical resection of a tumor near the right diaphragm, Thoracoabdominal contrast-enhanced computed tomography (CT) scan revealed a 10 × 8 cm mass lesion at the base of the right lung. The inflow artery to the mass was an anomalous vessel in which the left gastric artery bifurcated from the abdominal aorta, and its origin was the common trunk and right inferior transverse artery. Diagnosis: The tumor was diagnosed as right pulmonary fractionation disease based on the clinical findings. The postoperative pathological examination determined a diagnosis of SFT. Interventions: The pulmonary vein was used to irrigate the mass. The patient was diagnosed with pulmonary fractionation and underwent surgical resection. Intraoperative findings revealed a stalked, web-like venous hyperplasia anterior to the diaphragm, contiguous with the lesion. An inflow artery was found at the same site. The patient was subsequently treated using a double ligation technique. The mass was partially contiguous with S10 in the right lower lung and stalked. An outflow vein was identified at the same site, and the mass was removed using an automatic suture machine. Outcomes: The patient received follow-up examinations that involved a chest CT scan every 6 months, and no tumor recurrence was reported during 1 year of postoperative follow-up. Lessons: Differentiating between SFT and pulmonary fractionation disease may be challenging during preoperative diagnosis; therefore, aggressive surgical resection should be considered as SFTs may be malignant. Identification of abnormal vessels using contrast-enhanced CT scans may be effective in reducing surgical time and improving the safety of the surgical procedure.

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Section: Discussionmentioning

confidence: 99%

Solitary fibrous tumor resembling pulmonary fractionation disease: A case report

et al. 2023

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“…The giant local pleural fibromas are a rare forms of pleural diseases and in literature they are rarely cited as single cases [4,5] or, in some cases, they are mentioned when pleural fibromas are discussed. Last year, we found three successive cases of giant pleural fibromas.…”

Section: Discussionmentioning

confidence: 99%

Giant localized fibrous tumours of the pleura: Report of three subsequent cases

et al. 2006

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“…SFTPs are relatively rare, with fewer than 800 cases reported in the literature [1,2]. To our knowledge, there are only 2 similar cases of an elusive presentation of an SFTP with an aberrant arterial supply from the abdominal aorta [3,5].…”

Section: Commentmentioning

confidence: 99%

“…(Ann Thorac Surg 2017;103:e415-7) Ó 2017 by The Society of Thoracic Surgeons S olitary fibrous tumor of the pleura (SFTP) is a rare entity, accounting for fewer than 5% of pleural tumors [1][2][3]. They can arise from the visceral or parietal pleura, and they classically present as large vascularized soft tissue masses composed of fibroblasts and proliferating submesothelial mesenchymal cells [1].…”

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confidence: 99%

Solitary Fibrous Tumor of the Pleura With Abdominal Aortic Blood Supply

Addagatla

Mamtani

Babkowski

et al. 2017

The Annals of Thoracic Surgery

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A solitary fibrous tumor of the pleura (SFTP) presenting with an aberrant arterial supply from the abdominal aorta is extremely rare, and it may be difficult to distinguish from intralobar sequestration (ILS). We report the case of a 38-year-old woman who presented with acute chest pain and was subsequently found to have a 17.5-cm intrathoracic mass. After preoperative arterial embolization of its feeding vessel, this presumed ILS was resected. However, the intraoperative findings revealed a benign SFTP. Here we discuss a unique presentation of a large SFTP radiographically mimicking an ILS, and we propose a safe management strategy for this entity.

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Giant pleural fibroma with an abdominal vascular supply mimicking a pulmonary sequestration

Cited by 10 publications

References 9 publications

Solitary fibrous tumor resembling pulmonary fractionation disease: A case report

Solitary fibrous tumor resembling pulmonary fractionation disease: A case report

Giant localized fibrous tumours of the pleura: Report of three subsequent cases

Solitary Fibrous Tumor of the Pleura With Abdominal Aortic Blood Supply

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