title: Recurrent localized fibrous tumor of the pleura.
abstract: Localized fibrous tumors of the pleura are rare. They are often asymptomatic and may have symptoms based on size, bronchial invasion, or hormone production, or a combination of these. Complete resection offers the best chance of cure. However, recurrence is reported in a significant number of patients and can often be treated by repeated resection, albeit with increasing difficulty. We present a case in which delayed recurrence occurred after excision of such a tumor. This required a chest-wall resection and reconstruction after which a second recurrence occurred. Further thoracotomy including a latissimus dorsi free flap procedure was needed for a third-time recurrence.
authors.affiliation: Division of Thoracic Surgery, John Radcliffe Hospital, Oxford, United Kingdom. b.mahesh@imperial.ac.uk
authors.forename: Balakrishnan
authors.initials: B
authors.lastname: Mahesh
authors.forename: Colin
authors.initials: C
authors.lastname: Clelland
authors.forename: Chandana
authors.initials: C
authors.lastname: Ratnatunga
mesh_terms: D003964:Diaphragm / Q000473:pathology / Q000601:surgery; D018450:Disease Progression; D005260:Female; D006801:Humans; D020366:Methylmethacrylate; D008875:Middle Aged; D008940:Mitotic Index; D009361:Neoplasm Invasiveness; D009363:Neoplasm Proteins / Q000032:analysis; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000601:surgery; D018218:Neoplasms, Fibrous Tissue / Q000473:pathology* / Q000601:surgery; D010997:Pleural Neoplasms / Q000473:pathology* / Q000601:surgery; D012086:Reoperation; D012272:Ribs / Q000473:pathology / Q000601:surgery; D013524:Surgical Flaps; D013526:Surgical Mesh; D013530:Surgical Wound Infection / Q000601:surgery; D035441:Thoracic Wall / Q000473:pathology* / Q000601:surgery; D013908:Thoracotomy
chemical_list: D009363:Neoplasm Proteins; D020366:Methylmethacrylate