Archive of Old Cases
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Case No : 405 Date 2005-08-01
- Courtesy of Yo Won Choi, MD. / Hanyang University Hospital, Seoul, Korea
- Age/Sex 32 / M
- Chief ComplaintIncidental abnormal finding on chest radiographs
Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Benign Localized Fibrous Tumor of the Pleura
- Radiologic Findings
- Chest radiographs obtained 3 years ago show a well-defined opacity in the right lower lung zone along the major fissure. The lesion increased in size 3 years later. Chest CT scans obtained a week ago show a well-defined mass in the lower portion of the right oblique fissure, which is partly well-enhanced following intravenous administration of contrast media. Surgery confirmed the intrafissural location of the mass and no pulmonary invasion.
- Brief Review
- Differential diagnosis may include localized empyema within the major fissure, lung cancer invading the fissure, or localized fibrous tumor. However, features of slow growth, mostly intrafissural location, and well-enhancement favor the diagnosis of localized fibrous tumor of the pleura.
- References
- Refer to case 179 and case 353
- Keywords
- Pleura, Benign tumor,
No. of Applicants : 24
- ▶ Correct Answer : 17/24, 70.8%
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- - LIJMC New Hyde Park, New York, USA Pinar Karakas
- - Hospital Clinico Universidad, Chile Juan Carlos Diaz Patino
- - Ev. Krkhs. Hubertus, Berlin, Germany Michael Weber
- - Yonsei University Hospital, Korea Hyun Suk Choi
- - Max Hospital, New Delhi, India Anurag Jain
- - Cabinet de Radiologie Guiton, La Rochelle, France Jean-Luc Bigot
- - Radiologie Guiton, La Rochelle, France Denis Chabassiere
- - Gwangmyoung Sungae Hospital, Korea Jiyong Rhee
- - Annemasse, Polyclinique de Savoie, France Gay-Depassier
- - Homs National Hospital, Homs, Syria Rami Abou Zalaf
- - Incheon Sarang Hospital, Incheon, Korea Jung Hee Kim
- - Shiga University Hospital, Shiga, Japan Yukihiro Nagatani
- - Asan Medical Center, Seoul, Korea Hyun Joo Kim
- - Social Security Hospital, Ankara, Turkey Meric Tuzun
- - Ping Tung Christian Hospital,Taiwan Jun-Jun Yeh
- - Max Hospital, New Delhi, India Vickrant Malhotra
- - Yangjoo Hospital, Korea Hae Jum Yang
- ▶ Correct Answer as Differential Diagnosis : 3/24, 12.5%
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- - SSGH, Vadodara Medical College, Gujarat, India Sushil Mansingani
- - ASL Bologna, Maggiore Hospital, Bologna, Italy Marcellino Burzi
- - Hangang SacredHeart Hospital, Korea Eil Seong Lee
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