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Ann Thorac Surg 2004;78:e87-e88
© 2004 The Society of Thoracic Surgeons

Case report

Calcifying Fibrous Pseudotumor of the Pleura

Ki Seok Jang, MDa, Young-Ha Oh, MDa, Hong Xiu Han, MDa, Soon-Ho Chon, MDb, Won Sang Chung, MDb, Chan Kum Park, MDa, Seung Sam Paik, MD*,a

a Department of Pathology, College of Medicine, Hanyang University, Seoul, South Korea
b Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University, Seoul, South Korea

Accepted for publication March 25, 2004.

* Address reprint requests to Dr Paik, Department of Pathology, College of Medicine, Hanyang University, 17, Haengdang-dong, Seongdong-ku, Seoul 133-791, South Korea
sspaik{at}hanyang.ac.kr

Calcifying fibrous pseudotumor is an uncommon benign lesion that has unique histologic features. We report a case of calcifying fibrous pseudotumor of the pleura occurring in a 31-year-old woman. A computed tomographic scan revealed a pleural mass in the right anterior costophrenic angle. The excised mass was well circumscribed, nonencapsulated, solid, and firm. The tumor showed dense hyalinized collagenous tissue interspersed with spindle cells, psammomatous calcifications, and a predominantly lymphoplasmocytic infiltrate. Most spindle cells were diffusely positive for vimentin, focally positive for CD34, and negative for desmins, smooth muscle actin, S-100 protein, and anaplastic lymphoma kinase-1.




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