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Weekly Chest CasesArchive of Old Cases

Case No : 694 Date 2011-02-14

  • Courtesy of Kun Young Lim, MD, Hyae Young Kim, MD, Soo Hyun Lee, MD. / National Cancer Center, Korea
  • Age/Sex 73 / F
  • Chief ComplaintIncidental abnormality on routine chest PA
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Solitary fibrous tumor of pleura
Radiologic Findings
Fig. 1,2
CT scans demonstrate a large heterogeneously enhancing soft 뻯issue mass in the left hemithorax with internal linear and geographic areas of low attenuation and calcification. Enhancing portions of the lesion have a nodular pattern of attenuation

Fig.3
PET/CT scan demonstrates a huge mass with subtle FDG uptake (SUV 1.4).
Brief Review
Solitary fibrous tumors are rare primary pleural neoplasms that may grow to large sizes and typically affect symptomatic men and women over the age of 40 years.
Small solitary fibrous tumor of pleura without gross necrosis, hemorrhage, or cystic change may exhibit homogeneous attenuation on unenhanced and less frequently on contrast-enhanced chest CT scans. However, the majority of solitary fibrous tumor of pleura exhibit heterogeneous attenuation on CT scans, characterized as intralesional geographic, focal or linear areas of low attenuation that often correlate with hemorrhage, necrosis, or cystic changes. Calcification may occur in one-fourth of cases. Atelectasis of the adjacent lung and mass effect on the mediastinum are common associated findings.
References
1. Rosado-de-Christenson ML, Abbott GF, McAdams HP, Franks TJ, Galvin JR. From the Archives of the AFIP: Localized Fibrous Tumors of the Pleura. Radiographics 2003; 23:759-783
Keywords
Pleura, Benign tumor,

No. of Applicants : 108

▶ Correct Answer : 47/108,  43.5%
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - James Paget Hospital , U.K , United Kingdom nabil mahmood
  • - Youngdong Hospital , Korea (South) Sang Min Lee
  • - PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - NTUH , Taiwan Kuei-pin Chung
  • - Okayama University , Japan Akihiro Tada
  • - HSC , Brazil Diogo Pinheiro
  • - radiologist, aditya imaging centre , India vivek patel
  • - Severance hospital, shinchon , Korea (South) yeojin lee
  • - SMC , Korea (South) JIHYE MIN
  • - TATA MEMORIAL HOSPITAL , India FORAM GALA
  • - Inha University Hospital , Korea (South) Ju Won Lee
  • - School of Radiology www.unimi.it , Italy Gabriele D
  • - Saint Malo , France jean-baptiste Noel
  • - Severance hospital , Korea (South) Saerom Hong
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - McGill University Health Center , Canada Alexandre Semionov
  • - chp st martin , France Mariotte benoit
  • - Chonnam national univ. hospital , Korea (South) Choi SEUL Gi
  • - Chonnam National University Hospital , Korea (South) Daun Lee
  • - University of British Columbia , Canada Amr Ajlan
  • - Vitalife Clinics , Pune , India. , India Rahul Deshmukh
  • - Mallinckrodt Institute of Radiology , United States Travis Henry
  • - Beaulieu clinic Geneva , Switzerland gilles GENIN
  • - Asan Medial center , Korea (South) Chae Lim
  • - Hangang sacred heart hospital , Korea (South) You Mie Han
  • - Doctors Hospital , Bahamas muneesh sharma
  • - Seoul National University Hospital , Korea (South) YongSub Song
  • - Dongnam Institute of Radiological and Medical Sciences , Korea (South) Dae Wook Yeh
  • - Chonnam National University , Korea (South) se hee Jung
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - NASA SCANS , India RAKESH BHATIA
  • - CH de la C�te Basque , France Paul ARDILOUZE
  • - St-Luc Bruxelles , Belgium Tancredi Illario
  • - Mallinckrodt Institute of Radiology , United States Naganathan Mani
  • - Hotel-Dieu Montreal , Canada nicolas gautier
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - IRSA , France jean-luc BIGOT
  • - Department of Radiology, Chonnam National University Hospital , Korea (South) Hyungjun Kim
  • - Istanbul , Turkey Armagan Sarac
  • - Chonnam National University Hospital , Korea (South) Jung hyun Kim
  • - Chonnam national university hosipital , Korea (South) Byung chan Lee
  • - UZ GASTHUISBERG , Belgium Johan COOLEN
  • - CNUH , Korea (South) Seoin Jeong
  • - Yonsei University College of Medicine, Severance Hospital , Korea (South) Hyung Jin Rhee
  • - Chonnam national university hospital , Korea (South) seo yeon Park
▶ Correct Answer as Differential Diagnosis : 24/108,  22.2%
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OOKUBO
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - SMC , Korea (South) Yi Kyung Kim
  • - Chonnam National University Hwasoon Hospiral , Korea (South) You Ri Choi
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Virgin Mary Hospital Burgas , Bulgaria VLADISLAV RUSINOV
  • - Fukuyama daiichi Hospital , Japan Mototsugu Saeki
  • - KUMC ansan , Korea (South) kihwan kim
  • - NDMVP Nashik , India Imran Jindani
  • - Chonnam university hospital , Korea (South) LEE HYUN
  • - royal melbourne hospital , Australia kimchi kings
  • - Gifu Chuo Hospital , Japan Yo Kaneko
  • - Smile Radiologic clinic , Korea (South) Sung-Kyu Choi
  • - Radiologie Brabois adultes , France ROPION helene
  • - CHRU lille , France manuel toledano
  • - Toyama University Hospital, Laboratory of Pathology , Japan TOMONORI TANAKA
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - Onomichi municipal hospital , Japan Ryotaro Kishi
  • - Seoul Nationial University Bundang Hospital , Korea (South) Hee Seok Choi
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
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Current Editor : Sung Shine Shim, MD, PhD. Email : sinisim@ewha.ac.kr

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