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Giant Fibrous Tumor Misdiagnosed as Traumatic Hemothorax
Authors:C Tekinbas  A Gunduz  S Turedi  MM Erol  S Ozsu
Institution:1. Department of Thoracic Surgery,Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey;2. Department of Emergency Medicine,Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey;3. Department of Respiratory Medicine,Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey
Abstract:Solitary fibrous tumors of the pleura are neoplasms of the mesenchymal tissue of the pleural mesothelium. The most frequent symptoms are dyspnea, coughing and chest pain. A 45-year-old female patient presented after a thoracic contusion. A radio-opaque image was evidenced on chest X-ray. At the initial hospital, a hemorrhagic fluid was aspirated at thoracocentesis and the patient was transferred to our hospital with diagnosis of traumatic hemothorax. A thoracic CT showed a tumoral formation filling two-thirds of the left hemithorax. The transthoracic biopsy finding was compatible with a fibrous tumor. The patient was taken for surgery and the large pleural tumor was excised. In conclusion, a large pleural fibrous tumor was initially mistaken for hemothorax. A CT-scan revealed the tumoral nature of the thoracic opacity.
Keywords:Hemothorax  fibrous tumor  pleural tumour
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