Solitary fibrous tumor - pleura

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Right chest pain

Patient Data

Age: 55 years
Gender: Male

A 60×40 mm well-defined soft tissue density pleural- based mass with smooth margin and some internal calcifications is noted at mid portion of right hemithorax. 
No chest wall invasion is noted. Additionally, a few subpleural nodules are seen at both lungs less than 8mm which seems to be fibrotic nodules. There are also several atelectatic bands scattered bilaterally. 
Mild degenerative changes as osteophytosis are seen at the thoracic spine.

Case Discussion

Pathology proven pleural solitary fibrous tumor, also known as pleural fibroma, which is a rare benign pleural-based tumor that accounts for <5% of all tumors involving the pleura.

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