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Video-Assisted Thoracoscopic Surgery of Solitary Fibrous Pleural Tumor

Video-Assisted Thoracoscopic Surgery of Solitary Fibrous Pleural Tumor

Background

A 51 years old male patient came with a history of dyspnoea on exertion and purulent cough since 6 months. Pleural fluid aspiration was performed -6 times over 2 months. (1 – 1.5 litres of hemorrhagic pleural fluid was aspirated)

Diagnosis And Treatment

Routine Investigations – WNLPFT: FVC – 1.26 FEV1 – 1.1 FEV1/FVC – 87.1ECHO – normal LV function, No RWMA

CT scan showed two large heterogenously enhancing pleural based soft tissue density lesions with neovascularity in right hemithorax measuring 14.3x13.4x11.5cm and 7.9x7.5x6.1cm. Surgery – Pleural aspiration was done and 2 litres of fluid was drained. Patient developed hemodynamic instability and was resuscitated in OT. Right posterolateral thoracotomy was performed and the tumor was removed under VATS

Video-Assisted Thoracoscopic Surgery of Solitary Fibrous Pleural Tumor

Pre procedure chest radiographs showingmassive right pleural effusion

Video-Assisted Thoracoscopic Surgery of Solitary Fibrous Pleural Tumor

CT scan showing solitary fibrous right pleural tumor

Video-Assisted Thoracoscopic Surgery of Solitary Fibrous Pleural Tumor

Video-Assisted Thoracoscopic Surgery of Solitary Fibrous Pleural Tumor

Post op chest X ray

Video-Assisted Thoracoscopic Surgery of Solitary Fibrous Pleural Tumor

Right pleural tumor

About Author –

Dr. Balasubramoniam K R, Consultant Minimally Invasive and Robotic Thoracic Surgeon, Yashoda Hospitals - Hyderabad
MS (General Surgery), MCh (CTVS)

Dr Balasubramoniam Thoracic surgeon

Dr. Balasubramoniam K R

MS (General Surgery), MCh (CTVS)
Consultant Minimally Invasive and Robotic Thoracic Surgeon

About Author –

Dr. Siva Prasad Goud
MBBS, DNB (CVTS) Robotic & Minimally Invasive Thoracic Surgeon
Yashoda Hospitals, Secunderabad

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