A 39-year-old man with dyspnoea, low forced expiratory volume and a large mass of the left hemithorax

Zhi-Gang Sun; Xiang-Yan Liu; Zhou Wang; Bao-Zhong Shan; Min Zhang; Zhe Li

doi:10.5114/wo.2013.35048

eISSN: 1897-4309
ISSN: 1428-2526

Contemporary Oncology/Współczesna Onkologia

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3/2013
vol. 17

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abstract:

Case report

A 39-year-old man with dyspnoea, low forced expiratory volume and a large mass of the left hemithorax

Zhi-Gang Sun

,

Xiang-Yan Liu

,

Zhou Wang

,

Bao-Zhong Shan

,

Min Zhang

,

Zhe Li

Wspolczesna Onkol 2013; 17 (3): 324–326

DOI: https://doi.org/10.5114/wo.2013.35048

Online publish date: 2013/06/28

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In patients with intrathoracic neoplasms, low forced expiratory volume (FEV1) can preclude surgical treatment. Here, we present a case of a giant solitary fibroma of the pleura (SFTP) successfully treated by surgical removal in spite of low FEV1. A 39-year-old male patient was referred to our hospital with dyspnoea and chest distress. Computed tomography (CT) showed a large mass in the left chest. Spirometry showed FEV1 1.4 L (39% of the expected value). Computed tomography scan-guided transcutaneous aspiration biopsy was performed on the patient, and microscopic examination of the specimen revealed spindle tumor cells with a background of abundant collagen. Complete surgical resection was accomplished. The tumor was large and encapsulated. It measured 28 cm  20 cm  18 cm. The definitive diagnosis obtained by histopathology after resection was benign SFTP. The patient felt no dyspnoea at discharge. Surgical treatment of SFTP should be considered even in patients with a huge tumor and with increased post-operative risk.

keywords:

A 39-year-old man with dyspnoea, low forced expiratory volume and a large mass of the left hemithorax

Zhi-Gang Sun , Xiang-Yan Liu , Zhou Wang , Bao-Zhong Shan , Min Zhang , Zhe Li

dyspnoea, forced expiratory volume, solitary fibroma of the pleura

Zhi-Gang Sun

,

Xiang-Yan Liu

,

Zhou Wang

,

Bao-Zhong Shan

,

Min Zhang

,

Zhe Li