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array:23 [ "pii" => "S0025775319302945" "issn" => "00257753" "doi" => "10.1016/j.medcli.2019.03.032" "estado" => "S300" "fechaPublicacion" => "2020-01-10" "aid" => "4851" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2019" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2020;154:35" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:19 [ "pii" => "S0025775319302933" "issn" => "00257753" "doi" => "10.1016/j.medcli.2019.03.031" "estado" => "S300" "fechaPublicacion" => "2020-01-10" "aid" => "4850" "copyright" => "Elsevier España, S.L.U." 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Computed tomography (CT) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) displayed a solid mass occupying almost the entire right thoracic cavity (20<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>18<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>13<span class="elsevierStyleHsp" style=""></span>cm, red arrow), and slight pleural effusion (yellow arrow), conditioning complete atelectasis of homolateral lung, contralateral deviation of mediastinum and compression of superior vena cava and right atrium.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Pleural effusion had no malignant cells. Immunohistochemistry biopsy confirmed the diagnosis of solitary fibrous tumor of the pleura (SFTP). After surgery the improvement was notorious (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Pleural fibroma or SFTP is a rare, benign and slow-growing pleura-based tumor of submesothelial mesenchymal origin, 80% from visceral pleura. Clinical spectrum ranges from asymptomatic to nonspecific symptoms (cough, chest pain or shortness of breath) and most of these tumors are diagnosed by incidental finding on routine chest XR. Pleural effusions are rare.</p><p id="par0020" class="elsevierStylePara elsevierViewall">On CT they present as soft tissue pleura-based mass with intense enhancement by contrast (from rich vascularization), but non-enhancing areas may be present (due to necrosis, myxoid-degeneration or hemorrhage within the tumor).</p><p id="par0025" class="elsevierStylePara elsevierViewall">Definitive diagnosis is obtained by immunohistochemistry and treatment consists in excision of the tumor.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that there are no conflicts of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 554 "Ancho" => 1100 "Tamanyo" => 72978 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 550 "Ancho" => 543 "Tamanyo" => 31095 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/00257753/0000015400000001/v2_202001222045/S0025775319302945/v2_202001222045/en/main.assets" "Apartado" => array:4 [ "identificador" => "64289" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes médicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00257753/0000015400000001/v2_202001222045/S0025775319302945/v2_202001222045/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775319302945?idApp=UINPBA00004N" ]
