Giant Solitary Pulmonary Fibrous Tumor: Case Report
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Abstract
The giant pulmonary solitary fibrous tumor is a mesenchymal tumor of rare fibroblastic differentiation, preferably intrathoracic and intraoral. Not associated with specific risk factors. Non-specific clinical presentation and slow growth. The present case is of a 54-year-old patient with dyspnea on medium exertion with the presence of abolished left vesicular murmur. He developed refractory hypoglycemia leading to Doege Potter syndrome. A total occupying mass was evident in the left chest on computed axial tomography. A modified approach was performed by sternotomy plus left thoracotomy to improve exposure and hemodynamic control with access to the tumor’s nutritional vessels and total tumor excision. Histopathology revealed a heavier tumor reported in the medical literature. Microscopy presence of mesenchymal neoplasia composed of spindle-shaped and oval cells and positive immunohistochemistry of giant solitary pulmonary fibroma.
References
Barata, M., Cabral, D., Sequeira, P., Couto, C., Oliveira, A., & Rodrigues, C. M. P. (2021). Solitary fibrous tumor of the pleura: A giant finding, a benign entity? Respiratory Medicine Case Reports, 33, 101411. https://doi.org/10.1016/j.rmcr.2021.101411
Torrens, J., Collazo, H. O., Mendez, K., Padilla, K., Gonzalez, M., Muniappan, A., & Fernández, R. (2022). NOT SO SOLITARY, AN UNUSUAL CASE OF a SOLITARY FIBROUS TUMOR OF THE PLEURA. Chest, 161(6), A304. https://doi.org/10.1016/j.chest.2021.12.334
Chesta, F., Pham, A., Kan, F., Abdul-Ghani, A., & Evans, S. J. (2023). MALIGNANT SOLITARY FIBROUS TUMOR OF THE PLEURA: a DIAGNOSTIC AND THERAPEUTIC CHALLENGE. Chest, 164(4), A3740. https://doi.org/10.1016/j.chest.2023.07.2433
Alonso, I. J., Castro, S. G., & Sarasúa, L. G. (2022). Metástasis cardiacas en paciente con tumor fibroso solitario pleural. Archivos de Bronconeumología, 58(4), 352-353. https://doi.org/10.1016/j.arbres.2021.12.009
Pérez-Palenzuela, J., Pérez-García, K., Pérez-Palenzuela, J., & Pérez-García, K. (2022). Tumor fibroso solitario gigante de pleura. www.scielo.cl. https://doi.org/10.35687/s2452-45492022001303
Santos S.M. Fernandez R. Canto H (2018). Doege-Potter syndrome: What hypoglycemia hid.Rev Clin Esp. Recuperado de: https://doi.org/10.1016/j.jecr.2022.100112
Yao, K., Zhu, L., Wang, L., Xia, R., Yang, J., Hu, W., & Yu, Z. (2022). Resection of giant malignant solitary fibrous pleural tumor after interventional embolization: a case report and literature review. Journal of cardiothoracic surgery, 17(1), 134. https://doi.org/10.1186/s13019-022-01881-z