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A Case of a Solitary Fibrous Tumor of the Pleura Presenting as Pneumonia and Acute Respiratory Failure  

Park, Hye Sun (Department of Internal Medicine, Hanyang University College of Medicine)
Kwak, Hyun Jung (Department of Internal Medicine, Hanyang University College of Medicine)
Park, Dong Won (Department of Internal Medicine, Hanyang University College of Medicine)
Koo, Tai Yeon (Department of Internal Medicine, Hanyang University College of Medicine)
Kim, Hye Young (Department of Internal Medicine, Hanyang University College of Medicine)
Park, So Yeon (Department of Internal Medicine, Hanyang University College of Medicine)
Ahn, Seong Eun (Department of Internal Medicine, Hanyang University College of Medicine)
Kim, Sang-Heon (Department of Internal Medicine, Hanyang University College of Medicine)
Kim, Tae Hyung (Department of Internal Medicine, Hanyang University College of Medicine)
Sohn, Jang Won (Department of Internal Medicine, Hanyang University College of Medicine)
Chung, Won Sang (Department of Thoracic and Cardiovascular Surgery, Hanyang University College of Medicine)
Yoon, Ho Joo (Department of Internal Medicine, Hanyang University College of Medicine)
Shin, Dong Ho (Department of Internal Medicine, Hanyang University College of Medicine)
Park, Sung Soo (Department of Internal Medicine, Hanyang University College of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.65, no.4, 2008 , pp. 334-338 More about this Journal
Abstract
Solitary fibrous tumors of the pleura (SFTPs) are relatively rare tumors that originate from the mesenchymal cells of the submesothelial tissue of the pleura. Patients with SFTPs are often asymptomatic, while some patients experience pleuritic chest pain, cough and/or dyspnea. We report here on a case of SFTP, and the patient presented with septic shock and respiratory failure that required mechanical ventilation. A 68-year-old woman was admitted for the evaluation of her dyspnea and generalized edema. Chest imaging studies showed an 18 cm-sized voluminous mass occupying the right thoracic cavity with anterior displacement of hilar structures and atelectasis of the right lung. Immediately after admission, she developed pneumonia and septic shock that required antibiotics and mechanical ventilation. She displayed a partial response to medical treatment, and then complete excision of the tumor was performed and the pathologic examination revealed benign SFTP. Afterward, she fully improved without evidence of recurrence until now.
Keywords
solitary fibrous tumor of pleura; respiratory failure; generalized edema;
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