Cargando…

Preoperative Embolization of a Giant Solitary Fibrous Tumor of the Pleura: A Case Report

Only 5% of pleural neoplasms are fibrous tumors of the pleura, which typically develop from sub-mesothelial mesenchymal tissue of the visceral pleura. These tumors often behave clinically benignly, and when they are larger than 15 cm or occupy more than 40% of the hemithorax, they are referred to as...

Descripción completa

Detalles Bibliográficos
Autores principales: Lopera Valle, Johan Sebastian, Jiménez Marín, David, Hidalgo Oviedo, José Miguel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9648135/
https://www.ncbi.nlm.nih.gov/pubmed/36397891
http://dx.doi.org/10.7759/cureus.30173
_version_ 1784827512715476992
author Lopera Valle, Johan Sebastian
Jiménez Marín, David
Hidalgo Oviedo, José Miguel
author_facet Lopera Valle, Johan Sebastian
Jiménez Marín, David
Hidalgo Oviedo, José Miguel
author_sort Lopera Valle, Johan Sebastian
collection PubMed
description Only 5% of pleural neoplasms are fibrous tumors of the pleura, which typically develop from sub-mesothelial mesenchymal tissue of the visceral pleura. These tumors often behave clinically benignly, and when they are larger than 15 cm or occupy more than 40% of the hemithorax, they are referred to as “giant” tumors. Surgical excision is the gold standard treatment, although intra-operative bleeding is one of the major complications. In this case report, we discuss a 39-year-old female patient with a large homogeneous enhancing mass of soft tissue density in the right lower hemithorax with systemic arterial supply from the right inferior phrenic artery. Angiography and embolization were valuable adjuncts in preoperative management. Via thoracotomy, the mass was successfully removed completely with minimal blood loss. Giant SFTP is a rare neoplasm of the pleura. Intraoperative bleeding is one of the main complications during surgical resection, which is the gold standard of its treatment. Angiography and embolization are valuable complements in the preoperative treatment of this type of tumors to reduce intraoperative blood loss and operative times.
format Online
Article
Text
id pubmed-9648135
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-96481352022-11-16 Preoperative Embolization of a Giant Solitary Fibrous Tumor of the Pleura: A Case Report Lopera Valle, Johan Sebastian Jiménez Marín, David Hidalgo Oviedo, José Miguel Cureus Radiology Only 5% of pleural neoplasms are fibrous tumors of the pleura, which typically develop from sub-mesothelial mesenchymal tissue of the visceral pleura. These tumors often behave clinically benignly, and when they are larger than 15 cm or occupy more than 40% of the hemithorax, they are referred to as “giant” tumors. Surgical excision is the gold standard treatment, although intra-operative bleeding is one of the major complications. In this case report, we discuss a 39-year-old female patient with a large homogeneous enhancing mass of soft tissue density in the right lower hemithorax with systemic arterial supply from the right inferior phrenic artery. Angiography and embolization were valuable adjuncts in preoperative management. Via thoracotomy, the mass was successfully removed completely with minimal blood loss. Giant SFTP is a rare neoplasm of the pleura. Intraoperative bleeding is one of the main complications during surgical resection, which is the gold standard of its treatment. Angiography and embolization are valuable complements in the preoperative treatment of this type of tumors to reduce intraoperative blood loss and operative times. Cureus 2022-10-11 /pmc/articles/PMC9648135/ /pubmed/36397891 http://dx.doi.org/10.7759/cureus.30173 Text en Copyright © 2022, Lopera Valle et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiology
Lopera Valle, Johan Sebastian
Jiménez Marín, David
Hidalgo Oviedo, José Miguel
Preoperative Embolization of a Giant Solitary Fibrous Tumor of the Pleura: A Case Report
title Preoperative Embolization of a Giant Solitary Fibrous Tumor of the Pleura: A Case Report
title_full Preoperative Embolization of a Giant Solitary Fibrous Tumor of the Pleura: A Case Report
title_fullStr Preoperative Embolization of a Giant Solitary Fibrous Tumor of the Pleura: A Case Report
title_full_unstemmed Preoperative Embolization of a Giant Solitary Fibrous Tumor of the Pleura: A Case Report
title_short Preoperative Embolization of a Giant Solitary Fibrous Tumor of the Pleura: A Case Report
title_sort preoperative embolization of a giant solitary fibrous tumor of the pleura: a case report
topic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9648135/
https://www.ncbi.nlm.nih.gov/pubmed/36397891
http://dx.doi.org/10.7759/cureus.30173
work_keys_str_mv AT loperavallejohansebastian preoperativeembolizationofagiantsolitaryfibroustumorofthepleuraacasereport
AT jimenezmarindavid preoperativeembolizationofagiantsolitaryfibroustumorofthepleuraacasereport
AT hidalgooviedojosemiguel preoperativeembolizationofagiantsolitaryfibroustumorofthepleuraacasereport