Giant pleural fibroma with an abdominal vascular supply mimicking a pulmonary sequestration.
A 37 -year-old woman was found to have a giant mass in her right chest with an abnormal abdominal vascular supply at preoperative workup. Suspecting a pulmonary sequestration, the lesion was embolized and then removed through a standard thoracotomy. A broad-based, vascularized pedicle connected the mass to the diaphragm. Final pathology demonstrated a solitary fibrous tumor of the pleura with no malignant features. We believe this is the first case of solitary fibrous tumor of the pleura with a direct vascular supply from the abdominal aorta at the level of the renal arteries reported in the literature.
Kaul
Pradeep
P
Directorate of Cardiothoracic and Vascular Surgery, Northern General Hospital, Sheffield, United Kingdom.
Kay
Samantha
S
Gaines
Peter
P
Suvarna
Simon Kim
SK
Hopkinson
David N
DN
Rocco
Gaetano
G
D000005:Abdomen; D000328:Adult; D001998:Bronchopulmonary Sequestration / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D005350:Fibroma / Q000098:blood supply* / Q000175:diagnosis*; D006801:Humans; D010997:Pleural Neoplasms / Q000098:blood supply* / Q000175:diagnosis*