[Rapidly growing giant solitary fibrous tumor of the pleura].

Abstract

Solitary fibrous tumor of the pleura is a relatively rare tumor originating from the mesencymal cells. Most patients, even with large tumor sizes, are completely asymptomatic for a long time. They are usually benign, but local recurrence is common, so it is especially important to remove them with an intact edge. A 77-year-old male patient had a chest X-ray for shortness of breath. A chest CT scan described a right-sided, sharp-edged, dorsally located mass above the aperture. A transthoracic biopsy was performed which confirmed a solitary fibrous tumor of the pleura. During surgery, a 17 × 16 × 5 cm tumor was removed in toto. In connection with homogeneous, sharp-edged lesions seen on chest X-rays of patients with mild symptoms, the possibility of solitary fibrous tumors should be considered. Since malignant transformation of the histologically benign solitary fibrous pleura tumor may develop, total resection should be sought during surgery. Due to the possibility of local recurrence, close clinical and radiological follow-up of the patient is recommended. Orv Hetil. 2024; 165(19): 754–758.