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Fibrous lung tumor: a peculiar case
Barbara Barrettara1, Gaetano Napoli, Angelo Lacitignola
1Division of Thoracic Surgery, "San Paolo" Hospital, Via Caposcardicchio, Bari, Italy.
Journal of Thoracic Disease
|August 31, 2013
Summary
Solitary fibrous tumors (SFTs) are rare lung neoplasms. This case highlights an exceptionally large SFT, emphasizing the need for awareness of these unusual thoracic presentations.
Area of Science:
- Pulmonology
- Oncology
- Pathology
Background:
- Solitary fibrous tumors (SFTs) are uncommon neoplasms typically originating from the visceral pleura.
- While pleural SFTs are more common, extrapleural SFTs, including those within the lung parenchyma, are recognized.
Observation:
- An 81-year-old female presented with vague left thoracic pain.
- Radiographic and CT imaging revealed a large, well-defined solid lung mass measuring 10 cm x 9 cm, with no secondary lesions.
- The mass was located near the postero-basal and lateral-basal aspects of the lung.
Findings:
- Surgical resection via left inferior lobectomy and mediastinal lymph node sampling was performed.
- Histopathological examination confirmed the diagnosis of a solitary fibrous tumor (SFT).
- This case represents an unusually large SFT of the lung, exceeding previously reported sizes.
Implications:
- This case underscores the potential for solitary fibrous tumors to present as exceptionally large lung masses.
- Increased awareness among clinicians and radiologists is crucial for the diagnosis of rare thoracic neoplasms.
- Further research into the behavior and optimal management of large pulmonary SFTs is warranted.
