Pleural inflammatory myofibroblastoma: a locally aggressive intra-thoracic tumour.
A 41-year old non-smoking woman presented with persistent pleural effusion. Pleural fluid was hemorrhagic and fluid cytology was negative for malignant cells. A working diagnosis of chronic haemothorax was made and standard right thoracotomy was performed to identify the source of bleeding. A 10 x 10 cms poorly circumscribed mass containing blood clots, altered blood, fibrous tissue, and gelatinous debris was found and demonstrated features of inflammatory myofibroblastoma on immunohistochemistry. Thirteen months later, the patient developed a local recurrence, which was treated surgically. Semi-solid physical appearance of this tumour has not been reported previously. This case report further adds to the diagnostic dilemma related with this tumour.
Kubal
Chandrashekhar
C
Department of Cardiothoracic Surgery, Cardiothoracic Centre, Thomas Drive, Liverpool, L14 3PE, UK. shekharkubal@gmail.com
Ghotkar
Sanjay
S
Gosney
John
J
Carr
Martyn
M
D000328:Adult; D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D009379:Neoplasms, Muscle Tissue / Q000473:pathology* / Q000601:surgery; D010997:Pleural Neoplasms / Q000473:pathology* / Q000601:surgery