© 2004 BMJ Publishing Group Ltd & British Thoracic Society
Images in Thorax
Giant malignant fibrous histiocytoma of the pleura arising from solitary fibrous tumour
Department of General and Thoracic Surgery, "S Orsola-Malpighi" Hospital, University of Bologna, Italy
Correspondence to:
Correspondence to:
Dr F Petrella
Department of General and Thoracic Surgery, "S Orsola-Malpighi" Hospital, University of Bologna, Italy; fpetrella@libero.it
Keywords: malignant fibrous histiocytoma; solitary fibrous tumour
| The first 150 words of the full text of this article appear below. |
A 61 year old man was admitted with acute breathlessness. A computed tomographic (CT) scan showed a pleural mass 20 cm in diameter occupying the whole right hemithorax and causing massive lung atelectasis, with the exception of a small part of the upper lobe (fig 1A
). Magnetic resonance imaging (MRI) showed a right pleural effusion with right hemidiaphragm and liver lowering without infiltration; the superior vena cava was displaced but not infiltrated (fig 1B). A CT-guided transthoracic biopsy specimen was negative so the patient underwent right posterolateral thoracotomy. A vascular peduncle was seen arising from the mediastinal pleura. After ligation and sectioning of the peduncle, the mass was excised without pulmonary resection and the lung gradually re-expanded. Histological examination showed that the mass (24x24x13 cm; weight 3.1 kg) was a malignant fibrohistiocytoma arising from a solitary fibrous tumour. Focal areas of malignant fibrohistiocytoma were
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