1Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, İstanbul
2Bahariye Patoloji ve Sitoloji Laboratuvarı, İstanbul
Solitary fibrous tumor is a rare pathology of the pleura
that frequently arises from the visceral pleura. It is usually
a benign tumor, but 10-20% of the cases may have a
malign course. Clinical findings usually vary with the
size and the location of the tumor. In the early stages of
the disease, most of the cases are asymptomatic. However,
as the tumor enlarges, respiratory symptoms including
cough, chest pain, and dyspnea, as well as extrapulmonary
signs such as hypoglycemia and clubbing can be seen. To
make a definitive diagnosis, generally the total excision
of the mass through a thoracotomy should be performed.
Although surgical resection is adequate for the treatment,
there is a small risk of recurrence after surgery. The tumor
histologically consists of fibroblast-like and connective
tissue cells. The tumor cells usually stain positively
with CD34. In this article, the clinical findings and
the radiological, histological, and immunohistochemical
characteristics of a patient whose diagnosis was reported as
the solitary fibrous tumor of the pleura after being operated
on for a mass in the right hemothorax are discussed in view
of the literature.