Rapid growth of a solitary fibrous tumor of the pleura after slow long-term progression: a case report
Abstract Background Solitary fibrous tumors (SFTs) of the pleura are usually benign. We present a case of SFT of the pleura which grew rapidly after slow long-term progression. Case presentation A 78-year-old man was referred to our hospital for left-sided back pain and shortness of breath. He was f...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03142-7 |
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| author | Daichi Kakibuchi Shunta Ishihara Masanori Shimomura Satoshi Ikebe Ryota Dobashi Kazuki Honda Masayoshi Inoue |
| author_facet | Daichi Kakibuchi Shunta Ishihara Masanori Shimomura Satoshi Ikebe Ryota Dobashi Kazuki Honda Masayoshi Inoue |
| author_sort | Daichi Kakibuchi |
| collection | DOAJ |
| description | Abstract Background Solitary fibrous tumors (SFTs) of the pleura are usually benign. We present a case of SFT of the pleura which grew rapidly after slow long-term progression. Case presentation A 78-year-old man was referred to our hospital for left-sided back pain and shortness of breath. He was found to have a left mediastinal mass at 15 years of age. He remained asymptomatic for 60 years, and chest computed tomography (CT) during treatment of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis revealed that the mediastinal tumor was 8.0 cm in diameter. The size remained unchanged for 3 years but increased to 15.0 cm over the next 5 years. As the left main pulmonary artery was compressed by the mass, there were concerns regarding the worsening of haemodynamics and exacerbation of symptoms of respiratory distress. A sixth-rib intercostal thoracotomy with a posterolateral incision was performed to remove the large tumor. Perioperative steroid administration (methylprednisolone 125 mg/day) and positive pressure ventilation were administered to prevent re-expansion of the pulmonary oedema. The patient was discharged following an uneventful course. The tumor was pathologically diagnosed as an SFT with no malignant findings. Conclusion SFTs require surgical intervention because of their potential for rapid growth. |
| format | Article |
| id | doaj-art-098548a3f9a646659bbbc7b93928cdc2 |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-098548a3f9a646659bbbc7b93928cdc22025-01-26T12:51:50ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011410.1186/s13019-024-03142-7Rapid growth of a solitary fibrous tumor of the pleura after slow long-term progression: a case reportDaichi Kakibuchi0Shunta Ishihara1Masanori Shimomura2Satoshi Ikebe3Ryota Dobashi4Kazuki Honda5Masayoshi Inoue6Division of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of MedicineDivision of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of MedicineDivision of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of MedicineDivision of Thoracic Surgery, Fukuchiyama City HospitalDivision of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of MedicineDivision of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of MedicineDivision of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of MedicineAbstract Background Solitary fibrous tumors (SFTs) of the pleura are usually benign. We present a case of SFT of the pleura which grew rapidly after slow long-term progression. Case presentation A 78-year-old man was referred to our hospital for left-sided back pain and shortness of breath. He was found to have a left mediastinal mass at 15 years of age. He remained asymptomatic for 60 years, and chest computed tomography (CT) during treatment of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis revealed that the mediastinal tumor was 8.0 cm in diameter. The size remained unchanged for 3 years but increased to 15.0 cm over the next 5 years. As the left main pulmonary artery was compressed by the mass, there were concerns regarding the worsening of haemodynamics and exacerbation of symptoms of respiratory distress. A sixth-rib intercostal thoracotomy with a posterolateral incision was performed to remove the large tumor. Perioperative steroid administration (methylprednisolone 125 mg/day) and positive pressure ventilation were administered to prevent re-expansion of the pulmonary oedema. The patient was discharged following an uneventful course. The tumor was pathologically diagnosed as an SFT with no malignant findings. Conclusion SFTs require surgical intervention because of their potential for rapid growth.https://doi.org/10.1186/s13019-024-03142-7Solitary fibrous tumor of the pleuraSurgical resectionRapid growthCase report |
| spellingShingle | Daichi Kakibuchi Shunta Ishihara Masanori Shimomura Satoshi Ikebe Ryota Dobashi Kazuki Honda Masayoshi Inoue Rapid growth of a solitary fibrous tumor of the pleura after slow long-term progression: a case report Journal of Cardiothoracic Surgery Solitary fibrous tumor of the pleura Surgical resection Rapid growth Case report |
| title | Rapid growth of a solitary fibrous tumor of the pleura after slow long-term progression: a case report |
| title_full | Rapid growth of a solitary fibrous tumor of the pleura after slow long-term progression: a case report |
| title_fullStr | Rapid growth of a solitary fibrous tumor of the pleura after slow long-term progression: a case report |
| title_full_unstemmed | Rapid growth of a solitary fibrous tumor of the pleura after slow long-term progression: a case report |
| title_short | Rapid growth of a solitary fibrous tumor of the pleura after slow long-term progression: a case report |
| title_sort | rapid growth of a solitary fibrous tumor of the pleura after slow long term progression a case report |
| topic | Solitary fibrous tumor of the pleura Surgical resection Rapid growth Case report |
| url | https://doi.org/10.1186/s13019-024-03142-7 |
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