title: An elusive chest coin in an African child: a pleural fibroma's long, tortuous path to freedom.
abstract: Fibrous tumour of the pleural is rare and controversial tumor. Most of the reported cases is adults and the elderly. This case presentation is a solitary fibrous tumour in a fifteen year old girl, which to the best of our knowledge is the youngest report, who was sent for a psychiatric evaluation due to persistent complaint of "movement" in her chest, later referred to a tuberculosis clinic because of a chest radiograph report of loculated pleural effusion likely secondary to tuberculosis. She eventually had a chest computerized tomography and subsequent resection of the lesion. Histology confirmed the computerized tomography diagnosis of solitary fibrous tumour and there was no recurrence five years after excision. This report highlights the difficulty often encountered in developing countries where clinicians solely rely on clinical acumen for diagnosis and treatment due to poor patients' financial status and scarcely available diagnostic resources.
authors.affiliation: Radiology Department, Ladoke Akintola University Teaching Hospital, Osogbo, Osun State, Nigeria.
authors.forename: Ademola Adegoke
authors.initials: AA
authors.lastname: Aremu
authors.forename: Olusola Adetunji
authors.initials: OA
authors.lastname: Oyedeji
authors.forename: Christianah Mopelola
authors.initials: CM
authors.lastname: Asaleye
authors.forename: Victor Adebayo
authors.initials: VA
authors.lastname: Adetiloye
mesh_terms: D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis; D002637:Chest Pain / Q000209:etiology; D003371:Cough / Q000209:etiology; D003906:Developing Countries; D003951:Diagnostic Errors; D005260:Female; D006297:Health Services Accessibility / Q000191:economics; D006801:Humans; D009549:Nigeria; D010996:Pleural Effusion / Q000175:diagnosis; D010997:Pleural Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D012074:Remission Induction; D054363:Solitary Fibrous Tumor, Pleural / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis
keywords: Pleural fibroma; diagnostic difficulty; rare; scarce resources; teenager