Solitary Fibrous Tumor of the Pleura With Abdominal Aortic Blood Supply

Kamal Addagatla; Rishi Mamtani; Robert Babkowski; Michael I Ebright

doi:10.1016/j.athoracsur.2016.10.044

Solitary Fibrous Tumor of the Pleura With Abdominal Aortic Blood Supply

Ann Thorac Surg. 2017 May;103(5):e415-e417. doi: 10.1016/j.athoracsur.2016.10.044.

Authors

Kamal Addagatla¹, Rishi Mamtani¹, Robert Babkowski², Michael I Ebright³

Affiliations

¹ Department of Surgery, Stamford Hospital, Stamford, Connecticut.
² Department of Pathology and Laboratory Medicine, Stamford Hospital, Stamford, Connecticut.
³ Department of Surgery, Stamford Hospital, Stamford, Connecticut; Division of Thoracic Surgery, Columbia University Medical Center, New York, New York. Electronic address: mie2110@cumc.columbia.edu.

PMID: 28431714
DOI: 10.1016/j.athoracsur.2016.10.044

Abstract

A solitary fibrous tumor of the pleura (SFTP) presenting with an aberrant arterial supply from the abdominal aorta is extremely rare, and it may be difficult to distinguish from intralobar sequestration (ILS). We report the case of a 38-year-old woman who presented with acute chest pain and was subsequently found to have a 17.5-cm intrathoracic mass. After preoperative arterial embolization of its feeding vessel, this presumed ILS was resected. However, the intraoperative findings revealed a benign SFTP. Here we discuss a unique presentation of a large SFTP radiographically mimicking an ILS, and we propose a safe management strategy for this entity.

Publication types

Case Reports

MeSH terms

Adult
Aorta, Abdominal* / diagnostic imaging
Computed Tomography Angiography
Female
Humans
Solitary Fibrous Tumor, Pleural / blood supply*
Solitary Fibrous Tumor, Pleural / diagnostic imaging
Solitary Fibrous Tumor, Pleural / pathology
Solitary Fibrous Tumor, Pleural / surgery