Case Report

Pedunculated Localized Fibrous Tumor of the Pleura Presenting as a Moving Chest Mass

Authors: Canan Akman, MD, Serap Çetinkaya, MD, Sla Ulus, MD, Kamil Kaynak, MD, Büge Öz, MD

Abstract

Localized fibrous tumor of the pleura is a rare primary pleural neoplasm. The tumors are usually discovered incidentally on routine chest radiography. A change in the lesion's position with respiration and/or posture of the patient indicates a pedunculated pleural lesion. Computed tomography and magnetic resonance imaging reveal the relation of the lesions to adjacent structures. Magnetic resonance imaging is also useful for the characterization of the lesions on the basis of signal features. These tumors usually consist of mature fibrous tissue.


Key Points


* Lesions that show positional variation with changes in posture and respiration are of pleural origin and are generally pedunculated.


* In a healthy person, an incidentally found pleural mass that changes position is usually benign.


* The relation of the tumor to adjacent structures is evaluated by cross-sectional imaging.

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