Solitary Fibrous Tumor of the Pleura with Low Malignant Potential (Review and Clinical Observation)
M. E. Azhishcheva,
I. G. Frolova,
E. O. Rodionov,
S. V. Miller,
O. V. Cheremisina,
D. M. Loos,
S. A. Tabakaev,
E. E. Bober,
P. V. Surkova https://doi.org/10.37174/2587-7593-2026-9-1-90-96
Abstract
Introduction: Solitary fibrous tumor (SFT) — a rare mesenchymal tumor of fibroblastic origin. Solitary fibrous tumor is not a tumor of the pleura itself, unlike diffuse mesothelioma. The SFT was first described by E. Wagner in 1870. Non-specific clinical manifestations of solitary fibrous tumor complicate the diagnostic search and significantly expand the differential diagnostic range. Purpose: To demonstrate a rare case of solitary fibrous tumor of the pleura and to show, using a clinical case as an example, the difficulties of its diagnosis. Materials and methods: Multislice computed tomography (MSCT) of the chest organs performed to the patient with complaints of cough and shortness of breath during intense physical activity. Formation was detected with clear contours, a heterogeneous structure, located subpleurally was revealed. Results: The presented observation demonstrates non-specific radiological manifestations of a solitary fibrous tumor and illustrates the importance of correct interpretation of data and choice of diagnostic algorithm.
About the Authors
M. E. Azhishcheva
Oncology Research Institute, Tomsk National Research Medical Center
Russian Federation
Competing Interests:
Russian Federation
5 Kooperativny per., Tomsk, 634009
Competing Interests:
Not declared.
I. G. Frolova
Oncology Research Institute, Tomsk National Research Medical Center
Russian Federation
Competing Interests:
Russian Federation
5 Kooperativny per., Tomsk, 634009
Competing Interests:
Not declared.
E. O. Rodionov
Oncology Research Institute, Tomsk National Research Medical Center
Russian Federation
Competing Interests:
Russian Federation
5 Kooperativny per., Tomsk, 634009
Competing Interests:
Not declared.
S. V. Miller
Oncology Research Institute, Tomsk National Research Medical Center
Russian Federation
Competing Interests:
Russian Federation
5 Kooperativny per., Tomsk, 634009
Competing Interests:
Not declared.
O. V. Cheremisina
Oncology Research Institute, Tomsk National Research Medical Center
Russian Federation
Competing Interests:
Russian Federation
5 Kooperativny per., Tomsk, 634009
Competing Interests:
Not declared.
D. M. Loos
Oncology Research Institute, Tomsk National Research Medical Center
Russian Federation
Competing Interests:
Russian Federation
5 Kooperativny per., Tomsk, 634009
Competing Interests:
Not declared.
S. A. Tabakaev
Oncology Research Institute, Tomsk National Research Medical Center
Russian Federation
Competing Interests:
Russian Federation
5 Kooperativny per., Tomsk, 634009
Competing Interests:
Not declared.
E. E. Bober
Oncology Research Institute, Tomsk National Research Medical Center
Russian Federation
Competing Interests:
Russian Federation
5 Kooperativny per., Tomsk, 634009
Competing Interests:
Not declared.
P. V. Surkova
Oncology Research Institute, Tomsk National Research Medical Center
Russian Federation
Competing Interests:
Russian Federation
5 Kooperativny per., Tomsk, 634009
Competing Interests:
Not declared.
References
1. Bonomo L, Feragalli B, Sacco R, et al. Malignant pleural disease. European Journal of Radiology. 2000;34(2):98-118. (In Russ.). https://doi.org/10.1016/S0720-048X(00)00168-6.
2. International Agency for Research on Cancer, World Health Organization.
3. Vejvodova S, Spidlen V, Mukensnabl P, et al. Solitary Fibrous Tumor — Less Common Neoplasms of the Pleural Cavity. Annals of Thoracic and Cardiovascular Surgery. 2016;23(1):12–18. (In Russ.). https://doi.org/10.5761/atcs.oa.16-00108.
4. Sharma S, Eshpuniyani P, Bhushan K, et al. Giant Solitary Fibrous Tumor: A Rare Case Report. South Asian Journal of Cancer. 2019;8(1):17. (In Russ.). https://doi.org/10.4103/sajc.sajc_204_18.
5. Ryabov AB, Pikin OV, Abu-Khaidar OB. Solitary fibrous malignant tumor of the pleura with associated hypoglycemia: a case report. Siberian Journal of Oncology. 2020;19(2):147-52. (In Russ.). https://doi.org/10.21294/1814-4861-2020-19-2-147-152.
6. Pishchik VG, Obornev AD, Zinchenko EI, et al. Giant solitary fibrous tumors of the pleura: review of the literature and clinical cases. Sokolov´ Hospital N 122 of the Federal Medical and Biological Agency. 2016;2(16):66-70. (In Russ.). eLIBRARY ID: 26203289.
7. Pikin OV, Frank GA, Trakhtenberg AKh, et al. Solitary fibrous tumor of the pleura. Oncological surgery. 2010;2(4):37-41. (In Russ.). eISSN: 2077-4249.
8. Vishnya JE, Grinberg LM. Solitary fibrous tumor of the pleura. Ural Medical Journal. 2012; 13(105):78-82. (In Russ.).
9. Pechetov AA, Esakov YuS, Gritsiuta AYu, et al. Solitary fibrous tumor of pleura and lung: case reports and literature review. Pirogov Russian Journal of Surgery. 2016;(1):33-9. (In Russ.) https://doi.org/10.17116/hirurgia20161233-39.
10. Yong-Hao Y, Rong-Ting L, Zhang Yi. A large solitary fibrous tumour of the pleura: a case report and review of the literature. Journal of International Medical Research. 2018;46(4):1672-7. https://doi.org/10.1177/0300060517750534.
11.
12.
Review
For citations:
Azhishcheva M.E., Frolova I.G., Rodionov E.O., Miller S.V., Cheremisina O.V., Loos D.M., Tabakaev S.A., Bober E.E., Surkova P.V. Solitary Fibrous Tumor of the Pleura with Low Malignant Potential (Review and Clinical Observation). Journal of oncology: diagnostic radiology and radiotherapy. 2026;9(1):90-96. (In Russ.) https://doi.org/10.37174/2587-7593-2026-9-1-90-96
Views:
223
JATS XML
Email this article 