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Pradeep Kaul
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Ann Thorac Surg 2003;76:935-937
© 2003 The Society of Thoracic Surgeons

Case report

Giant pleural fibroma with an abdominal vascular supply mimicking a pulmonary sequestration

Pradeep Kaul, MD, FRCSa, Samantha Kay, MDa, Peter Gaines, MD, FRCPa, Simon Kim Suvarna, MD, FRCPathb, David N. Hopkinson, MD, FRCS, Gaetano Rocco, MD, FECTSa*

a Directorate of Cardiothoracic and Vascular Surgery, Sheffield, United Kingdom
b Department of Histopathology, Northern General Hospital, Sheffield Teaching Hospitals, Sheffield, United Kingdom

Accepted for publication February 14, 2003.

* Address reprint requests to Dr Rocco, The Price-Thomas Thoracic Unit, Northern General Hospital, Herries Rd S5 7AU, Sheffield, United Kingdom
e-mail: gaetano.rocco{at}btopenworld.com

A 37 -year-old woman was found to have a giant mass in her right chest with an abnormal abdominal vascular supply at preoperative workup. Suspecting a pulmonary sequestration, the lesion was embolized and then removed through a standard thoracotomy. A broad-based, vascularized pedicle connected the mass to the diaphragm. Final pathology demonstrated a solitary fibrous tumor of the pleura with no malignant features. We believe this is the first case of solitary fibrous tumor of the pleura with a direct vascular supply from the abdominal aorta at the level of the renal arteries reported in the literature.






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Copyright © 2003 by The Society of Thoracic Surgeons.