A Rare Case of Fat-Forming Variant of Solitary Fibrous Tumor Presenting as a Pleural Mass.
10.4046/trd.2011.70.6.511
- Author:
Mi Ae KIM
1
;
Ji Hyun LEE
;
Hye Cheol JEONG
;
Seung Won KOO
;
Kyung Mi PARK
;
Sang Ho CHO
;
Hyeon Jae LEE
;
Eun Kyung KIM
Author Information
1. Department of Internal Medicine, Bundang CHA Hospital, CHA University College of Medicine, Seongnam, Korea. imekkim@hanmail.net
- Publication Type:Case Report
- Keywords:
Solitary Fibrous Tumors;
Pleura;
Lipoma
- MeSH:
Aged;
Biopsy, Needle;
Chest Pain;
Diagnosis, Differential;
Hemangiopericytoma;
Humans;
Lipoma;
Liposarcoma;
Lung;
Pleura;
Rectal Neoplasms;
Recurrence;
Soft Tissue Neoplasms;
Solitary Fibrous Tumors;
Thorax
- From:Tuberculosis and Respiratory Diseases
2011;70(6):511-515
- CountryRepublic of Korea
- Language:English
-
Abstract:
The fat-forming variant of solitary fibrous tumors (SFTs) is a rare soft tissue neoplasm that was previously referred to as a lipomatous hemangiopericytoma (L-HPC). The most common affected site is deep soft tissue. Here, we present the first case, worldwide, of a fat-forming variant of SFT of the pleura. A 74-year-old man presented with left lower chest pain. Chest radiographs showed a mass-like lesion at the left lower lung field and chest computed tomography revealed a 12 cm fat-containing enhancing mass that was well-separated, lobulated and inhomogeneous. Radiology findings suggested a liposarcoma. Percutaneous needle biopsy was performed and pathological diagnosis of the mass was a fat-forming variant of SFT. Surgical resection was carried out and there has been no recurrence to date. So, a benign fat-forming variant of SFT must be considered as one of the differential diagnoses of lipomatous tumors of the pleura.