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Journal of Radiological Review 2022 June;9(2):110-2

DOI: 10.23736/S2723-9284.22.00187-1


language: English

Solitary fibrous tumor of the pleura: XR and CT findings

Annamaria G. NUCERA 1 , Vittoria LOPEZ 2

1 Unit of Radiology, Department of Advanced Diagnostic-Therapeutic Technologies, Bianchi-Melacrino-Morelli Hospital, Reggio Calabria, Italy; 2 Unit of Radiology, Department of Support Health Services, San Giovanni di Dio Hospital, Crotone, Italy

Solitary fibrous tumor of the pleura (SFTP) or pleural fibroma is a rare mesenchymal tumor, mostly benign. It may affect male and female patients equally; moreover, it may develop in all age periods (5 to 87 years) with the highest incidence between 60 and 70 years of age. Generally, there is no evidence of correlation with genetic predisposition or exposure to tobacco smoke, asbestos and environmental agents, contrary to what happens for other tumors. Asymptomatic on presentation in most cases, it is usually discovered incidentally on chest radiographs performed for other reasons; in the remaining cases, even in virtue of larger dimensions, it may present non-specific symptoms, such as chest pain, dyspnea and cough due to the pressure exerted on the surrounding structures, or extrathoracic (paraneoplastic) symptoms, such as Pierre-Marie-Bamberg Syndrome (hypertrophic pulmonary osteoarthropathy) and intermittent hypoglycemia (Doeg-Potter Syndrome) due to the production of specific substances by cancer cells proper. In the case observed in the course of our daily medical practice, a 57-year-old woman came to our unit to perform computed tomography (CT) exam after chest X-Ray (XR) performed at another hospital for dyspnea and cough. XR and CT showed a bulky solid pleural-based mass on the left, occupying almost entirely the chest with contralateral cardiomediastinal shift, characterized by regular margins, marked vascularity with dilated and tortuous engorged posterior paraaortic collateral vessels and no evidence of pleural effusion or hilomediastinal lymphadenopathy.

KEY WORDS: Solitary fibrous tumor, pleural; Tomography, X-Ray computed; Radiology

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