A Large Solitary Fibrous Tumor of the Pleura Associated with Massive Pleural Effusion: A Case Report and Review of the Literature

Abstract

The tumor, which can vary in size, rarely occupies most of the pleural cavity and could be localized or diffuse [2]. The onset of illness can be completely asymptomatic, and the tumor is usually discovered incidentally; more commonly, however, patients present with respiratory symptoms, including severe respiratory distress. In rare cases, the tumor can present with significant metabolic derangement such as hypokalemia and hypoglycemia, collectively known as Doege–Potter syndrome [3,4]. Most solitary fibrous tumors are benign, and only 20% are not [5]. En bloc resection is the standard treatment for both benign and malignant SFTPs; however, close follow-up is mandatory in all cases, especially when dealing with large tumors.