title: Ordinary symptom for a serious pathology - giant solitary fibrous tumor of the pleura.
abstract: The solitary fibrous tumor of the pleura (SFTP) is a rare primary tumor arising from mesenchymal cells in the areolar tissue subjacent to the mesothelial-lined pleura. From an epidemiological standpoint, solitary fibrous tumors of the pleura account for less than 5% of primary pleural tumors, and commonly affect patients in the sixth and seventh decades. We presented the case of a 38-year-old woman, without any significant pathological history, who presented at the emergency room for unspecific respiratory symptoms. Imagistic investigations showed a giant opacity in the upper half part of the left hemithorax. The patient underwent surgery and en bloc resection of the tumor (30/25 cm) in oncological limits was performed. Definite diagnosis - solitary fibrous tumor of the pleura - was obtained through histological examination and immunohistochemistry. Even if SFTP are benign tumors, a long follow-up period is mandatory as even patients with complete resection are at risk of recurrence several years after surgery.
authors.affiliation: Clinical Emergency Hospital, Bucharest, Romania; elisabeta.badila@gmail.com.
authors.forename: Elisabeta
authors.initials: E
authors.lastname: Bădilă
authors.forename: Cristina
authors.initials: C
authors.lastname: Grigore
authors.forename: Ana Maria
authors.initials: AM
authors.lastname: Daraban
authors.forename: Emma
authors.initials: E
authors.lastname: Ţintea
authors.forename: Teodor
authors.initials: T
authors.lastname: Horvat
authors.forename: Mihnea
authors.initials: M
authors.lastname: Davidescu
authors.forename: Valentin
authors.initials: V
authors.lastname: Enache
authors.forename: Ileana
authors.initials: I
authors.lastname: Condrea
authors.forename: Daniela
authors.initials: D
authors.lastname: Bartoş
authors.forename: Bogdan
authors.initials: B
authors.lastname: Popa
mesh_terms: D000328:Adult; D018952:Antigens, CD34 / Q000378:metabolism; D049109:Cell Proliferation; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D019394:Ki-67 Antigen / Q000378:metabolism; D013902:Radiography, Thoracic; D054363:Solitary Fibrous Tumor, Pleural / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
chemical_list: D018952:Antigens, CD34; D019394:Ki-67 Antigen