[Benign fibrous mesothelioma: report of 8 cases].
Benign fibrous mesothelioma (BFM) is a primary, isolated tumor of the pleura. In 80% of patients the tumor originates in the visceral pleura. BFM is rare and localized malignant mesothelioma, whose prognosis and treatment is significantly different, must be considered as a differential diagnosis. We report 8 cases of BFM excised by thoracotomy. In 6 asymptomatic patients, diagnosis was based on radiological images. One patient with a large tumor suffered dyspnea, acropachia and hypertrophic osteoarthropathy. The last patient experienced long-lasting chest pain even though the tumor was small (3 x 3 x 1 cm). Diagnosis was before thoracotomy in 3 cases, 2 by punch biopsy (tru-cut) and the other by thoracoscopy. The results of pleural fluid analysis were nonspecific in 2 of the 3 cases in which pleural effusion was present. Thoracotomy allowed removal of the entire tumor in all patients.
Servicios de Neumología, Hospital Juan Canalejo, La Coruña.
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Blanco
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Montero
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Rivas
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Otero
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Yebra
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Verea
D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D008875:Middle Aged; D010996:Pleural Effusion / Q000209:etiology; D010997:Pleural Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology; D011859:Radiography
Mesotelioma fibroso benigno: aportación de 8 casos.