Giant Fibrous Tumor Misdiagnosed as Traumatic Hemothorax


Tekinbas C. , GÜNDÜZ A. , Turedi S. , Erol M. M. , Ozsu s.

ACTA CHIRURGICA BELGICA, vol.108, no.6, pp.771-773, 2008 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 108 Issue: 6
  • Publication Date: 2008
  • Doi Number: 10.1080/00015458.2008.11680337
  • Title of Journal : ACTA CHIRURGICA BELGICA
  • Page Numbers: pp.771-773

Abstract

Solitary fibrous tumors of the pleura are neoplasms of the mesenchymal tissue of the pleural mesothelium. The most frequent symptoms are dyspnea, coughing and chest pain. A 45-year-old female patient presented after a thoracic contusion. A radio-opaque image was evidenced on chest X-ray. At the initial hospital, a hemorrhagic fluid was aspirated at thoracocentesis and the patient was transferred to our hospital with diagnosis of traumatic hemothorax. A thoracic CT showed a tumoral formation filling two-thirds of the left hemithorax. The transthoracic biopsy finding wits compatible with a fibrous tumor. The patient was taken for surgery and the large pleural tumor was excised. In conclusion. a large pleural fibrous tumor was initially mistaken for hemothorax. A CT-scan revealed the tumoral nature of the thoracic opacity.