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Ann Thorac Surg 2006;82:342-345
© 2006 The Society of Thoracic Surgeons

Case report

Recurrent Localized Fibrous Tumor of the Pleura

Balakrishnan Mahesh, MS, FRCS a , * , Colin Clelland, FRCPath b , Chandana Ratnatunga, FRCS(CTh) a

a Division of Thoracic Surgery, Oxford, United Kingdom
b Division of Pathology, John Radcliffe Hospital, Oxford, United Kingdom

Accepted for publication September 20, 2005.

* Address correspondence to Dr Mahesh, Transplant Immunology Heart Science Center, Harefield Hospital, Harefield, UB96JH United Kingdom (Email: b.mahesh{at}imperial.ac.uk).

Localized fibrous tumors of the pleura are rare. They are often asymptomatic and may have symptoms based on size, bronchial invasion, or hormone production, or a combination of these. Complete resection offers the best chance of cure. However, recurrence is reported in a significant number of patients and can often be treated by repeated resection, albeit with increasing difficulty. We present a case in which delayed recurrence occurred after excision of such a tumor. This required a chest-wall resection and reconstruction after which a second recurrence occurred. Further thoracotomy including a latissimus dorsi free flap procedure was needed for a third-time recurrence.






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