T Bossert, J Gummert, J Schneider, F Mohr
anesthesia, anesthesiology, critical care medicine, education, electronic publication, intensive care medicine, internet, multimedia, online, peer-review, regional anesthesia, trauma
T Bossert, J Gummert, J Schneider, F Mohr. Chance finding of a solitary fibrous tumor of the pleura. The Internet Journal of Thoracic and Cardiovascular Surgery. 1999 Volume 3 Number 2.
A 68-year-old women was referred to our hospital for mitral valve replacement. Chest X-ray was performed routinely before cardiac surgery. We discovered a tumor lateral to the right atrium by chance
Chest computed tomographic scan revealed a tumor 4 cm in diameter between the right atrium and the ventral surface of the right lung
The patient underwent surgery using cardiopulmonary bypass. After sternotomy, the right pleural cavitiy was opened. A 4 x 6 cm tumorous mass was found
The tumor was attached to the interlobar region of the visceral pleura of the right middle lobe by a highly vascularized peduncle. We excised the tumor with a small part of lung and replaced the mitral valve.
Histology and immunhistochemistry demonstrated a solitary fibrous tumor of the pleura (SFTP). Postoperative course was uneventful.
Although the majority of SFTP are benign, the treatment of choice is their complete surgical removal due to malignancy in 10-15 %.
Follow-up examinations will be performed to prevent late recurrence of the SFTP.