Huge localized fibrous tumor of the pleura resembling a mediastinal tumor: report of a case.
A 67-year-old man was admitted to our hospital because of an abnormal chest echoic lesion detected incidentally by echocardiography. A chest roentgenogram showed the presence of a giant mass, and computed tomography of the chest confirmed the presence of a mass with a nonhomogeneous density in the left mediastinum, just adjacent to the left ventricle of the heart. Percutaneous aspiration cytology of the mass showed benign fibrous cells and a small amount of lymphocytes. The preoperative diagnosis of the tumor suggested a thymoma, and the patient underwent a thoracotomy. A pedunculated tumor arose from the visceral pleura of the left upper lobe of the lung, and it was capsulated within the pleura. The tumor measured 15 x 12 x 8 cm in size and it was successfully resected. The pathological diagnosis of the tumor was benign localized fibrous tumor of the pleura.
Yashiro
Tomoyasu
T
Department of General Thoracic Surgery, Kimitsu-cho Hospital, Chiba, Japan.
Shiba
Mitsutoshi
M
Sato
Kouichiro
K
Matsuzaki
Osamu
O
Iizasa
Toshihiko
T
Otsuji
Mizuto
M
Fujisawa
Takehiko
T
D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000473:pathology; D010997:Pleural Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed