HEMOTORAKS KOMPLİKASYONU İLE BAŞVURAN PLEVRANIN DEV SOLİTER FİBRÖZ TÜMÖRÜ

Year 2010, Volume: 24 Issue: 3, 181 - 184, 01.12.2010

Serdar Şen Ekrem Şentürk Salih Çokpınar Ertan Yaman İbrahim Meteoğlu

Abstract

Plevral soliter fibröz tümör (SFT) parietal ya da daha büyük oranda viseral plevranın submezenkimal hücrelerinden köken alan yavaş büyüyen intratorasik nadir bir neoplazmdır. Dispne ve ağrı şikayetleri ile başvuran 67 yaşındaki kadın hasta da akciğer grafisi ve torasentez ile masif hemotoraks tanısı kondu ve küçük çaplı kateter ile drene edildi. Ve hastanın toraks bilgisayarlı tomografisinde plevra ile ilişkili dev mediastinal kitle görüldü. Tümör operasyona alınarak, sol torakotomi ile eksize edildi. Makroskopik incelemede tümoral kitle 1650 gr, 20 x 10 x 12 cm ölçülerde, lastik kıvamlı, iyi sınırlı, lobuler konturluydu. Histopatolojik incelemede olguya plevral SFT tanısı kondu. Yazımızda hemotoraks komplikasyonu ile başvuran plevranın dev soliter fibröz tümörü olgusunu paylaşmak istedik.

Keywords

Plevral Neoplazm, Soliter Fibröz Tümör, Hemotoraks, Torakotomi

PLEURAL GIANT SOLITARY FIBROUS TUMOR THAT PRESENTED WITH HEMOTHORAX

Abstract

Pleural Solitary Fibrous Tumor (SFT) is a rare and slow growing intrathoracic neoplasm which originates from submesenchymal cells of parietal or, more commonly, visceral pleura. A 67-year old woman presented with dyspnea and pain, x-ray and thoracentezis showed a massive hemothorax was drained by small boring catheter. And Computerized tomography (CT) showed a giant mediastinal mass connected to the pleura. The tumor was removed by left thoracotomy under the operation. Grossly, the tumor was lobulated, welldemarcated and mostly encapsulated. Its weight was 754 gr. and it measured 20x10x12 cm. The patient was diagnosed as pleural solitary fibrous tumor by hystopathologic examination. In this paper, a case of pleural giant solitary fibrous tumor was shared who presented with hemothorax.

Keywords

Pleural neoplasm, Solitary Fibrous tumor, Hemothorax, Thoracotomy

References

• 1. Robinson LA. Solitary fibrous tumor of the pleura. Cancer Control 2006; 13: 264-9.
• 2. Carretta A, Bandiera A, Melloni G, Ciriaco P, Arrigoni G, Rizzo N, Negri G, Zannini P. Solitary fibrous tumors of the pleura: immunohistochemical analysis and evaluation of prognostic factors a+er surgical treatment. J Surg Oncol 2006, 94: 40-4.
• 3. Cardillo G, Facciolo F, Cavazzana AO, Capece G, Gasparri R, Martelli M. Localized (solitary) fibrous tumors of the pleura: an analysis of 55 patients. Ann thorac Surg 2000; 70: 1808-12.
• 4. Magdeleinat P, Alifano M, Petino A, Le Rochais JP, Dulmet E, Galateau F, Icard P, Regnard JF. Solitary fibrous tumors of the pleura: clinical characteristics, surgical treatment and outcome. Eur J Cardiothorac Surg 2002; 21: 1087-1093.
• 5. Shields TW, Yeldandi AV. Localized tumor of the pleura. In: Shields TW, LoCicero III J, Ponn RB, eds. General Thoracic Surgery. Philadelphia: Lippincot Williams & Wilkins, 2000: 757-66.
• 6. Akay H. Hemotoraksta tan› ve tedavi yaklafl›m›. Solunum 2002; 4: 195-205.
• 7. Ferretti GR, Chiles C, Choplin RH, Coulomb M. Localized benign fibrous tumors of the pleura. AJR Am J Roentgenol 1997; 169: 683- 6.
• 8. Drachenberg CB, Bourquin PM, Cochran LM, Burke KC, Kumar D, White CS. Fine needle aspiration biopsy of solitary fibrous tumors. Report of two cases with histologic, immunohistochemical and ultrastructural correlation. Acta Cytol 1998; 42: 1003-10.
• 9. Weynand B, Noël H, Goncette L, Noirhomme P, Collard P. Solitary fibrous tumor of the pleura: a report of five cases diagnosed by transthoracic cutting needle biopsy. Chest 1997; 112: 1424-8.
• 10. Örki A, Kelefl M, Koflar A, K›ral H, Tezel Ç, Dudu C, Arman B. Plevran›n Soliter (Lokalize) Fibröz Tümörü: Üç Olgu Sunumu Türk Gö¤üs Kalp Damar Cerrahisi Dergisi 2003; 11: 125-8.