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Solitary fibrous tumor resembling pulmonary fractionation disease: A case report
Preoperative differentiation between pulmonary fractionation and solitary fibrous tumors (SFTs) is challenging. Diaphragmatic primary tumors are relatively rare among SFTs, with limited reports of abnormal vascularity. PATIENT CONCERNS: A 28-year-old male patient was referred to our department for s...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328628/ https://www.ncbi.nlm.nih.gov/pubmed/37417612 http://dx.doi.org/10.1097/MD.0000000000034290 |
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author | Yoshino, Ryusei Yoshida, Nana Ito, Akane Nakatsubo, Masaki Yuzawa, Sayaka Kitada, Masahiro |
author_facet | Yoshino, Ryusei Yoshida, Nana Ito, Akane Nakatsubo, Masaki Yuzawa, Sayaka Kitada, Masahiro |
author_sort | Yoshino, Ryusei |
collection | PubMed |
description | Preoperative differentiation between pulmonary fractionation and solitary fibrous tumors (SFTs) is challenging. Diaphragmatic primary tumors are relatively rare among SFTs, with limited reports of abnormal vascularity. PATIENT CONCERNS: A 28-year-old male patient was referred to our department for surgical resection of a tumor near the right diaphragm, Thoracoabdominal contrast-enhanced computed tomography (CT) scan revealed a 10 × 8 cm mass lesion at the base of the right lung. The inflow artery to the mass was an anomalous vessel in which the left gastric artery bifurcated from the abdominal aorta, and its origin was the common trunk and right inferior transverse artery. DIAGNOSIS: The tumor was diagnosed as right pulmonary fractionation disease based on the clinical findings. The postoperative pathological examination determined a diagnosis of SFT. INTERVENTIONS: The pulmonary vein was used to irrigate the mass. The patient was diagnosed with pulmonary fractionation and underwent surgical resection. Intraoperative findings revealed a stalked, web-like venous hyperplasia anterior to the diaphragm, contiguous with the lesion. An inflow artery was found at the same site. The patient was subsequently treated using a double ligation technique. The mass was partially contiguous with S10 in the right lower lung and stalked. An outflow vein was identified at the same site, and the mass was removed using an automatic suture machine. OUTCOMES: The patient received follow-up examinations that involved a chest CT scan every 6 months, and no tumor recurrence was reported during 1 year of postoperative follow-up. LESSONS: Differentiating between SFT and pulmonary fractionation disease may be challenging during preoperative diagnosis; therefore, aggressive surgical resection should be considered as SFTs may be malignant. Identification of abnormal vessels using contrast-enhanced CT scans may be effective in reducing surgical time and improving the safety of the surgical procedure. |
format | Online Article Text |
id | pubmed-10328628 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-103286282023-07-08 Solitary fibrous tumor resembling pulmonary fractionation disease: A case report Yoshino, Ryusei Yoshida, Nana Ito, Akane Nakatsubo, Masaki Yuzawa, Sayaka Kitada, Masahiro Medicine (Baltimore) 7100 Preoperative differentiation between pulmonary fractionation and solitary fibrous tumors (SFTs) is challenging. Diaphragmatic primary tumors are relatively rare among SFTs, with limited reports of abnormal vascularity. PATIENT CONCERNS: A 28-year-old male patient was referred to our department for surgical resection of a tumor near the right diaphragm, Thoracoabdominal contrast-enhanced computed tomography (CT) scan revealed a 10 × 8 cm mass lesion at the base of the right lung. The inflow artery to the mass was an anomalous vessel in which the left gastric artery bifurcated from the abdominal aorta, and its origin was the common trunk and right inferior transverse artery. DIAGNOSIS: The tumor was diagnosed as right pulmonary fractionation disease based on the clinical findings. The postoperative pathological examination determined a diagnosis of SFT. INTERVENTIONS: The pulmonary vein was used to irrigate the mass. The patient was diagnosed with pulmonary fractionation and underwent surgical resection. Intraoperative findings revealed a stalked, web-like venous hyperplasia anterior to the diaphragm, contiguous with the lesion. An inflow artery was found at the same site. The patient was subsequently treated using a double ligation technique. The mass was partially contiguous with S10 in the right lower lung and stalked. An outflow vein was identified at the same site, and the mass was removed using an automatic suture machine. OUTCOMES: The patient received follow-up examinations that involved a chest CT scan every 6 months, and no tumor recurrence was reported during 1 year of postoperative follow-up. LESSONS: Differentiating between SFT and pulmonary fractionation disease may be challenging during preoperative diagnosis; therefore, aggressive surgical resection should be considered as SFTs may be malignant. Identification of abnormal vessels using contrast-enhanced CT scans may be effective in reducing surgical time and improving the safety of the surgical procedure. Lippincott Williams & Wilkins 2023-07-07 /pmc/articles/PMC10328628/ /pubmed/37417612 http://dx.doi.org/10.1097/MD.0000000000034290 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 7100 Yoshino, Ryusei Yoshida, Nana Ito, Akane Nakatsubo, Masaki Yuzawa, Sayaka Kitada, Masahiro Solitary fibrous tumor resembling pulmonary fractionation disease: A case report |
title | Solitary fibrous tumor resembling pulmonary fractionation disease: A case report |
title_full | Solitary fibrous tumor resembling pulmonary fractionation disease: A case report |
title_fullStr | Solitary fibrous tumor resembling pulmonary fractionation disease: A case report |
title_full_unstemmed | Solitary fibrous tumor resembling pulmonary fractionation disease: A case report |
title_short | Solitary fibrous tumor resembling pulmonary fractionation disease: A case report |
title_sort | solitary fibrous tumor resembling pulmonary fractionation disease: a case report |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328628/ https://www.ncbi.nlm.nih.gov/pubmed/37417612 http://dx.doi.org/10.1097/MD.0000000000034290 |
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