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(Chest. 1997;112:1424-1428.)
© 1997 American College of Chest Physicians

Solitary Fibrous Tumor of the Pleura

A Report of Five Cases Diagnosed by Transthoracic Cutting Needle Biopsy

Birgit Weynand MD1; Henri Noël MD1; Louis Goncette MD2; Philippe Noirhomme MD3; and Philippe Collard MD4

1 From the Department of Pathology, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium
2 From the Department of Radiology, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium
3 From the Department of Cardiovascular Surgery, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium
4 From the Department of Pneumology, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium

Five patients had a solitary fibrous tumor of the pleura; a well-known but rare entity. In all cases, biopsy by a transthoracic cutting needle (Tru-Cut; Travenol; Deerfield, IL) yielded specimens adequate for histologic analysis and gave the clue to the diagnosis. In four patients, surgical resection confirmed the diagnosis. The opportunity for and interest in diagnosing these tumors by transthoracic cutting needle biopsy before surgery are discussed. An accurate diagnosis of solitary fibrous tumors of the pleura can be made by a minimally invasive procedure; this allows for a more informed allocation of surgical resources.

Key Words: pleura • solitary fibrous tumor • transthoracic cutting needle biopsy

Submitted on December 19, 1996
Accepted on March 19, 1997




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