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[Giant pleural fibroma].

L San Feliciano Martín1, D Fernández Alvarez, M Muriel Ramos

  • 1Departamento de Pediatría. Hospital Universitario de Salamanca. España. lausafe@yahoo.es

Anales De Pediatria (Barcelona, Spain : 2003)
|June 5, 2003
PubMed
Summary

Solitary fibrous tumors of the pleura are rare in children but can grow large. Surgical resection is curative, but long-term follow-up is essential for these unpredictable tumors.

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Area of Science:

  • Thoracic oncology
  • Pediatric mesenchymal tumors

Background:

  • Solitary fibrous tumors (SFTs) are uncommon mesenchymal neoplasms.
  • Pediatric cases of pleural SFTs are exceptionally rare, posing diagnostic and management challenges.

Observation:

  • A 15-year-old female presented with an incidentally discovered giant thoracic mass.
  • Clinical examination revealed thoracic asymmetry and absent breath sounds in the right lung.
  • Imaging confirmed a large mass, with biopsy diagnosing solitary fibrous tumor of the pleura.

Findings:

  • Despite a benign histological diagnosis, solitary fibrous tumors can exhibit unpredictable behavior, including rapid growth and potential for malignant transformation.
  • Complete surgical resection is the primary curative treatment.
  • The patient underwent successful tumor resection with an uneventful postoperative recovery.

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Implications:

  • This case highlights the importance of considering solitary fibrous tumors in pediatric thoracic masses.
  • Prompt surgical intervention is crucial for managing large or symptomatic SFTs.
  • Long-term surveillance is recommended due to the risk of local recurrence.