title: [In Process Citation].
abstract: Surgery of mostly benign giant tumours involving large part of the chest is a special surgical challenge. The problems comprise difficulties of surgical technique, management of the narcosis and postoperative intensive care. An additional peculiarity of our case is the extreme confliction of the otherwise presumably evident indication for surgery. Our 64-years-old male patient has been suffering from increasing dyspnoea on exercise for one and a half years. A chest X-ray performed for other reasons demonstrated a large, expansive structural change in the right thoracic cavity. Lung biopsy performed as part of respiratory investigations, which showed a solitaire fibrous tumour of the pleura. Oncological consultation suggested consideration of surgery. The general condition of the patient worsened rapidly in the course of preassessment; he had to be admitted to ICU due to dyspnoea and atrial fibrillation, where respiratory insufficiency developed and required respiratory therapy. Surgery was performed in this high anaesthetic risk patient, since removal of the tumour was the only chance for surviving. The patient left the hospital healthy after successful surgery and cumbersome postoperative period. He returned to his original job and no recurrence was detected one year after surgery.
authors.affiliation: Mellkassebészet, Országos Korányi Tbc és Pulmonológiai Intézet 1121 Budapest, Pihenő út 1.
authors.forename: József
authors.initials: J
authors.lastname: Kas
authors.forename: Attila
authors.initials: A
authors.lastname: Csekeő
authors.forename: Miklós
authors.initials: M
authors.lastname: Molnár
authors.forename: Attila
authors.initials: A
authors.lastname: Vágvölgyi
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Markóczy
authors.forename: Emese
authors.initials: E
authors.lastname: Szabó
authors.forename: Mária
authors.initials: M
authors.lastname: Héjja
authors.forename: István
authors.initials: I
authors.lastname: Pénzes
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Rozgonyi
authors.forename: Ibolya
authors.initials: I
authors.lastname: Soltész
authors.forename: János
authors.initials: J
authors.lastname: Fillinger
authors.forename: Pál
authors.initials: P
authors.lastname: Vadász
keywords: giant tumour; solitaer fibrosus pleuratumor; solitary fibrous tumour of the pleura; óriás mellkasi tumor