A Case of a Solitary Fibrous Tumor of the Pleura Presenting as Pneumonia and Acute Respiratory Failure.

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

doi:2008.65.4.334

Tuberc Respir Dis > Volume 65(4); 2008 > Article

Case Report

Tuberculosis and Respiratory Diseases 2008;65(4):334-338.
DOI: https://doi.org/10.4046/trd.2008.65.4.334 Published online October 1, 2008.

A Case of a Solitary Fibrous Tumor of the Pleura Presenting as Pneumonia and Acute Respiratory Failure.

Hye Sun Park, Hyun Jung Kwak, Dong Won Park, Tai Yeon Koo, Hye Young Kim, So Yeon Park, Seong Eun Ahn, Sang Heon Kim, Tae Hyung Kim, Jang Won Sohn, Won Sang Chung, Ho Joo Yoon, Dong Ho Shin, Sung Soo Park

¹Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea. sspark@hanyang.ac.kr
²Department of Thoracic and Cardiovascular Surgery, Hanyang University College of Medicine, Seoul, Korea.

Abstract

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.

Key Words: solitary fibrous tumor of pleura, respiratory failure, generalized edema