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Updated: Aug 7, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Recurrent localized fibrous tumor of the pleura
Balakrishnan Mahesh1, Colin Clelland, Chandana Ratnatunga
1Division of Thoracic Surgery, John Radcliffe Hospital, Oxford, United Kingdom. b.mahesh@imperial.ac.uk
Abstract:
Localized fibrous tumors of the pleura are rare. They are often asymptomatic and may have symptoms based on size, bronchial invasion, or hormone production, or a combination of these. Complete resection offers the best chance of cure. However, recurrence is reported in a significant number of patients and can often be treated by repeated resection, albeit with increasing difficulty. We present a case in which delayed recurrence occurred after excision of such a tumor. This required a chest-wall resection and reconstruction after which a second recurrence occurred. Further thoracotomy including a latissimus dorsi free flap procedure was needed for a third-time recurrence.
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