Malignant solitary fibrous tumor of pleura accompanied with first symptoms of chest pain and hemoptysis: a case report.
Solitary fibrous tumor of the pleura (SFTP) is a rare tumor especially presents malignant features. Such symptoms of hemoptysis and dyspnea were rarely seen and take 5% and 4% respectively in malignant SFTP. A 26-year-old Chinese man, presenting with hemoptysis in the emergency room, was hospitalized because of dyspnea. The X-ray examination revealed a tumor in the right chest cavity. The patient refused treatment, and the tumor grew rapidly, which complicated the symptoms of the patient. En-bloc excision of tumor plus the involved lung was performed. There was at least a 5000-ml mixture of blood and tumor tissue in the right chest cavity because of continuous bleeding, leading to a tumor capsule split. Histopathology and immunohistochemistry identified the tumor as malignant SFTP, but CD34 was negative. In this case, the tumor grew rapidly and aggressively in two months, indicating that close follow-up and active treatment are needed.
Department of Cardiothoracic Surgery, The First Afflicted Hospital of Guangxi Medical University, Nanning, China.
Xue-Feng
XF
Leng
Lei
L
Xian
Jia-Jin
JJ
Qin
Bin-Feng
BF
Lei
D000328:Adult; D014408:Biomarkers, Tumor / Q000032:analysis; D002637:Chest Pain / Q000209:etiology*; D004417:Dyspnea / Q000209:etiology; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D054363:Solitary Fibrous Tumor, Pleural / Q000737:chemistry / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013908:Thoracotomy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D047368:Tumor Burden
D014408:Biomarkers, Tumor