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Malignant fibrous histiocytoma presenting with complete opacification of the hemithorax: A case report |
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| Authors: | Jean Salem Ali Shamseddine Mohamad Khalife Ghina El Nounou Abdallah Abou EL Naaj Deborah Mukherji Ali Haydar Walid Faraj |
| Affiliation: | aDepartment of Surgery, Division of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon;bDepartment of Internal Medicine, Division of Oncology, American University of Beirut Medical Center, Beirut, Lebanon;cDepartment of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon |
| Abstract: | BACKGROUNDMalignant fibrous histiocytoma, a subtype of primary lung sarcoma is a very rare disease. It usually presents as a lung nodules and the final diagnosis is made by immunohistochemical studies.METHODSA 45-year-old patient presented with progressive dyspnea, dry cough and right shoulder pain. Chest X-ray revealed complete opacification of the right hemithorax. Chest computed tomography confirmed the presence of a heterogeneous lesion occupying the whole right hemithorax causing a mass effect on the trachea. Ultrasound guided biopsy was done and final pathology was suggestive of malignant fibrous histiocytoma.CONCLUSIONProgressive dyspnea in young otherwise healthy patients should be investigated early on. In our case the presence of right shoulder pain indicates advance disease illustrated by the singular imaging findings. |
| Keywords: | Lung Dyspnea Sarcoma Malignant fibrous histiocytoma |
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