Recurrent localized fibrous tumor of the pleura.
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.
Mahesh
Balakrishnan
B
Division of Thoracic Surgery, John Radcliffe Hospital, Oxford, United Kingdom. b.mahesh@imperial.ac.uk
Clelland
Colin
C
Ratnatunga
Chandana
C
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
D009363:Neoplasm Proteins; D020366:Methylmethacrylate