A Hemiclamshell Incision for a Giant Solitary Fibrous Tumor of the Right Hemithorax

A 41-year-old female was admitted with respiratory distress. Chest radiographs showed opacity in the right hemithorax with mediastinal shift. Computed tomography (CT) scan showed a pleural mass with a 22 cm diameter occupying the whole right hemithorax and causing atelectasis. Magnetic resonance ima...

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Main Authors: Nilgün Kanlıoğlu Kuman, Serdar Şen, Salih Çokpınar, Emel Ceylan, Canten Tataroğlu, Mehmet Boğa
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2012/826454
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author Nilgün Kanlıoğlu Kuman
Serdar Şen
Salih Çokpınar
Emel Ceylan
Canten Tataroğlu
Mehmet Boğa
author_facet Nilgün Kanlıoğlu Kuman
Serdar Şen
Salih Çokpınar
Emel Ceylan
Canten Tataroğlu
Mehmet Boğa
author_sort Nilgün Kanlıoğlu Kuman
collection DOAJ
description A 41-year-old female was admitted with respiratory distress. Chest radiographs showed opacity in the right hemithorax with mediastinal shift. Computed tomography (CT) scan showed a pleural mass with a 22 cm diameter occupying the whole right hemithorax and causing atelectasis. Magnetic resonance imaging (MRI) showed lower position of the right hemidiaphragm and the liver. Superior vena cava and heart were shifted to left. Presence of infiltration to the adjacent tissues could not be clearly evaluated because of pressure effect. Transthoracic needle biopsy specimen was reported to be benign. Because of the size and location of the mass, a hemiclamshell incision was chosen, which allowed excellent visualization and complete dissection of the giant tumor. The histopathology of the resected specimen confirmed solitary fibrous tumor. The patient was stabilized by careful observation and treatment. No complication except pneumonia in the postoperative first month occurred during the 22-month follow-up period.
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institution Kabale University
issn 2090-6900
2090-6919
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-0c77572ea86e48a68d3a58cdb5e0346f2025-02-03T05:48:08ZengWileyCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/826454826454A Hemiclamshell Incision for a Giant Solitary Fibrous Tumor of the Right HemithoraxNilgün Kanlıoğlu Kuman0Serdar Şen1Salih Çokpınar2Emel Ceylan3Canten Tataroğlu4Mehmet Boğa5Department of Thoracic Surgery, Adnan Menderes University, 09000 Aydın, TurkeyDepartment of Thoracic Surgery, Adnan Menderes University, 09000 Aydın, TurkeyDepartment of Thoracic Surgery, Adnan Menderes University, 09000 Aydın, TurkeyDepartment of Pulmonology, Adnan Menderes University, 09000 Aydın, TurkeyDepartment of Pathology, Adnan Menderes University, 09000 Aydın, TurkeyDepartment of Cardiovascular Surgery, Adnan Menderes University, 09000 Aydın, TurkeyA 41-year-old female was admitted with respiratory distress. Chest radiographs showed opacity in the right hemithorax with mediastinal shift. Computed tomography (CT) scan showed a pleural mass with a 22 cm diameter occupying the whole right hemithorax and causing atelectasis. Magnetic resonance imaging (MRI) showed lower position of the right hemidiaphragm and the liver. Superior vena cava and heart were shifted to left. Presence of infiltration to the adjacent tissues could not be clearly evaluated because of pressure effect. Transthoracic needle biopsy specimen was reported to be benign. Because of the size and location of the mass, a hemiclamshell incision was chosen, which allowed excellent visualization and complete dissection of the giant tumor. The histopathology of the resected specimen confirmed solitary fibrous tumor. The patient was stabilized by careful observation and treatment. No complication except pneumonia in the postoperative first month occurred during the 22-month follow-up period.http://dx.doi.org/10.1155/2012/826454
spellingShingle Nilgün Kanlıoğlu Kuman
Serdar Şen
Salih Çokpınar
Emel Ceylan
Canten Tataroğlu
Mehmet Boğa
A Hemiclamshell Incision for a Giant Solitary Fibrous Tumor of the Right Hemithorax
Case Reports in Surgery
title A Hemiclamshell Incision for a Giant Solitary Fibrous Tumor of the Right Hemithorax
title_full A Hemiclamshell Incision for a Giant Solitary Fibrous Tumor of the Right Hemithorax
title_fullStr A Hemiclamshell Incision for a Giant Solitary Fibrous Tumor of the Right Hemithorax
title_full_unstemmed A Hemiclamshell Incision for a Giant Solitary Fibrous Tumor of the Right Hemithorax
title_short A Hemiclamshell Incision for a Giant Solitary Fibrous Tumor of the Right Hemithorax
title_sort hemiclamshell incision for a giant solitary fibrous tumor of the right hemithorax
url http://dx.doi.org/10.1155/2012/826454
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