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KMID : 0383820080650040334
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Tuberculosis and Respiratory Diseases
2008 Volume.65 No. 4 p.334 ~ p.338
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A Case of a Solitary Fibrous Tumor of the Pleura Presenting as Pneumonia and Acute Respiratory Failure
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Park Hye-Sun
Kwak Hyun-Jung
Park Dong-Won
Koo Tai-Yeon
Kim Hye-Young
Park So-Yeon
Ahn Seong-Eun
Kim Sang-Heon
Kim Tae-Hyung
Sohn Jang-Won
Chung Won-Sang
Yoon Ho-Joo
Shin Dong-Ho
Park Sung-Soo
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Abstract
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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.
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KEYWORD
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solitary fibrous tumor of pleura, respiratory failure, generalized edema
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