eMedicine Specialties > Radiology > Chest

Localized Fibrous Tumor of the Pleura: Follow-up

Author: Moulay Meziane, MD, Head, Section of Thoracic Imaging, Department of Radiology, Cleveland Clinic Foundation
Coauthor(s): Omar Lababede, MD, Consulting Staff, Department of Regional Diagnostic Radiology, Cleveland Clinic Foundation
Contributor Information and Disclosures

Updated: Aug 2, 2007

Intervention

Transthoracic needle biopsy is usually performed as part of the workup in a patient with a pleural mass. However, the diagnostic yield of the transthoracic biopsy is low because of the fibrous nature and hypocellularity of the lesion.

The use of cutting biopsy or core biopsy rather than fine-needle aspiration increases the diagnostic yield. In addition, special pathologic techniques, such as electron microscopy and immunostaining (eg, with CD34, bcl-2, CD99) can increase the specificity of biopsy.3

Preoperative embolization can be helpful, especially in large masses.

 


More on Localized Fibrous Tumor of the Pleura

Overview: Localized Fibrous Tumor of the Pleura
Imaging: Localized Fibrous Tumor of the Pleura
Follow-up: Localized Fibrous Tumor of the Pleura
Multimedia: Localized Fibrous Tumor of the Pleura
References
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References

  1. Mahesh B, Clelland C, Ratnatunga C. Recurrent localized fibrous tumor of the pleura. Ann Thorac Surg. Jul 2006;82(1):342-5. [Medline].

  2. Hara M, Kume M, Oshima H, et al. F-18 FDG uptake in a malignant localized fibrous tumor of the pleura. J Thorac Imaging. May 2005;20(2):118-9. [Medline].

  3. Ordóñez NG. Localized (solitary) fibrous tumor of the pleura. Adv Anat Pathol. Nov 2000;7(6):327-40. [Medline].

  4. Altinok T, Topçu S, Tastepe AI, et al. Localized fibrous tumors of the pleura: clinical and surgical evaluation. Ann Thorac Surg. Sep 2003;76(3):892-5. [Medline].

  5. Cole FH Jr, Ellis RA, Goodman RC, et al. Benign fibrous pleural tumor with elevation of insulin-like growth factor and hypoglycemia. South Med J. Jun 1990;83(6):690-4. [Medline].

  6. Desser TS, Stark P. Pictorial essay: solitary fibrous tumor of the pleura. J Thorac Imaging. Jan 1998;13(1):27-35. [Medline].

  7. England DM, Hochholzer L, McCarthy MJ. Localized benign and malignant fibrous tumors of the pleura. A clinicopathologic review of 223 cases. Am J Surg Pathol. Aug 1989;13(8):640-58. [Medline].

  8. Ferretti GR, Chiles C, Choplin RH, et al. Localized benign fibrous tumors of the pleura. AJR Am J Roentgenol. Sep 1997;169(3):683-6. [Medline].

  9. Ferretti GR, Chiles C, Cox JE, et al. Localized benign fibrous tumors of the pleura: MR appearance. J Comput Assist Tomogr. Jan-Feb 1997;21(1):115-20. [Medline].

  10. Harris GN, Rozenshtein A, Schiff MJ. Benign fibrous mesothelioma of the pleura: MR imaging findings. AJR Am J Roentgenol. Nov 1995;165(5):1143-4. [Medline].

  11. Lee KS, Im JG, Choe KO, et al. CT findings in benign fibrous mesothelioma of the pleura: pathologic correlation in nine patients. AJR Am J Roentgenol. May 1992;158(5):983-6. [Medline].

  12. Mendelson DS, Meary E, Buy JN, et al. Localized fibrous pleural mesothelioma: CT findings. Clin Imaging. Apr-Jun 1991;15(2):105-8. [Medline].

  13. Rosado-de-Christenson ML, Abbott GF, McAdams HP, et al. From the archives of the AFIP: Localized fibrous tumor of the pleura. Radiographics. May-Jun 2003;23(3):759-83. [Medline].

  14. Tatepe I, Alper A, Ozaydin HE, et al. A case of multiple synchronous localized fibrous tumor of the pleura. Eur J Cardiothorac Surg. Oct 2000;18(4):491-4. [Medline].

  15. Veronesi G, Spaggiari L, Mazzarol G, et al. Huge malignant localized fibrous tumor of the pleura. J Cardiovasc Surg (Torino). Oct 2000;41(5):781-4. [Medline].

  16. Wilson RW, Gallateau-Salle F, Moran CA. Desmoid tumors of the pleura: a clinicopathologic mimic of localized fibrous tumor. Mod Pathol. Jan 1999;12(1):9-14. [Medline].

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Further Reading

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Keywords

LFTP, benign mesothelioma, fibrous mesothelioma, localized mesothelioma, diffuse mesothelioma, malignant mesothelioma, subpleural fibroma, submesothelial fibroma, pleural fibroma, pleural fibromyxoma, solitary fibrous tumor, localized fibrous pleural tumor, lung tumor, pleural tumor, pleural neoplasm, lung cancer, diffuse pleural tumor, localized pleural tumor

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Contributor Information and Disclosures

Author

Moulay Meziane, MD, Head, Section of Thoracic Imaging, Department of Radiology, Cleveland Clinic Foundation
Moulay Meziane, MD is a member of the following medical societies: Radiological Society of North America
Disclosure: Nothing to disclose.

Coauthor(s)

Omar Lababede, MD, Consulting Staff, Department of Regional Diagnostic Radiology, Cleveland Clinic Foundation
Omar Lababede, MD is a member of the following medical societies: American College of Radiology and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Kitt Shaffer, MD, PhD, Director of Undergraduate Medical Education, Associate Professor, Department of Radiology, Cambridge Health Alliance
Kitt Shaffer, MD, PhD is a member of the following medical societies: American Roentgen Ray Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

W Richard Webb, MD, Chief of Thoracic Imaging, Professor, Department of Radiology, University of California at San Francisco
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Staff, Department of Radiology, Virginia Mason Medical Center
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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