Giant Solitary Fibrous Tumor of the Pleura in Young Patient

DOI:  https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.7946

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Published: Jun 4, 2019
Issue: Vol. 17 No. 2 (2019): Ciencias de la Salud
Section Case Study


Keywords: Solitary fibrous tumors solitary fibrous tumor pleural pleural neoplasms pleura surgical procedures operative embolization therapeutic.

Main Article Content

Authors

Tatiana Carolina Beltrán-García, MD, MSc
Universidad del Rosario, Servicio de Cirugía General, Bogotá.
Isabella Vargas-Parada, Est
Universidad del Rosario. Hospital Occidente de Kennedy, Bogotá.
Camilo Andrés Amaya-Dueñas, Est
Universidad del Rosario. Hospital Occidente de Kennedy, Bogotá.
Mario Andrés López-Ordóñez, MD, MSc
Universidad del Rosario. Hospital Occidente de Kennedy, Servicio de Cirugía de Tórax Oncológica, Bogotá.

Abstract

Introduction: The solitary fibrous tumor of the pleura (sftp) is an uncommon pathology. It corresponds to less than 5 % of the primary tumors of the pleura. Even much rare is to find one solitary fibrous tumor, of more than 15 cm in patients younger than 35 years since the incidence peak is between 60 to 70 years. There has been only one case reported in Colombia. Case presentation: The subject of study was a 33-year-old female patient, no exposure to asbestos or cigarette. The chief complaints of the patient were mild dyspnea and right dorsal pain. Thoracic computerized tomography (ct) showed a large solid mass of lobulated contours that compromised 70 % of the right hemithorax, of extrapulmonary origin compressing the right atrium. Immunohistochemistry of the percutaneous biopsy demonstrated a solitary fibrous tumor. The patient underwent an extended right posterolateral thoracotomy. Doctors found and completely resected a tumor hanging on the right parietal pleura. Histopathology and immunohistochemistry of the product of the surgical resection were compatible with a solitary fibrous tumor of the pleura, 30 x 23 x 16cm in size, and no malignancy. The patient’s discharge happened five days after surgery. Discussion: In a young patient, a giant tfsp is unusual. After diagnosis and despite having some characteristics that suggested malignancy its size and origin in the parietal pleura, surgical resection was the appropriate procedure for this tumor, with subsequent histopathological confirmation compatible with a benign tumor.
Author Biographies

Tatiana Carolina Beltrán-García, MD, MSc, Universidad del Rosario, Servicio de Cirugía General, Bogotá.

Universidad del Rosario, Servicio de Cirugía General, Bogotá.

Isabella Vargas-Parada, Est, Universidad del Rosario. Hospital Occidente de Kennedy, Bogotá.

Universidad del Rosario. Hospital Occidente de Kennedy, Bogotá.

Camilo Andrés Amaya-Dueñas, Est, Universidad del Rosario. Hospital Occidente de Kennedy, Bogotá.

Universidad del Rosario. Hospital Occidente de Kennedy, Bogotá.

Mario Andrés López-Ordóñez, MD, MSc, Universidad del Rosario. Hospital Occidente de Kennedy, Servicio de Cirugía de Tórax Oncológica, Bogotá.

Universidad del Rosario. Hospital Occidente de Kennedy, Servicio de Cirugía de Tórax Oncológica, Bogotá.
How to Cite
Beltrán-García, MD, MSc, T. C., Vargas-Parada, Est, I., Amaya-Dueñas, Est, C. A., & López-Ordóñez, MD, MSc, M. A. (2019). Giant Solitary Fibrous Tumor of the Pleura in Young Patient. Revista Ciencias De La Salud, 17(2), 373–384. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.7946
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