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Herrera Ortiz AF, Del Castillo V, Duarte JN, Gutiérrez MJ, Noguera V, Martínez de Los Ríos DA, Maldonado Acevedo SP, Torres JL, Pinzón B, Moreno A, Quiroz Alfaro AJ. Pulmonary Calcifying Fibrous Tumor in a Pediatric Patient: A Case Report. Cureus 2024; 16:e62053. [PMID: 38989355 PMCID: PMC11234803 DOI: 10.7759/cureus.62053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2024] [Indexed: 07/12/2024] Open
Abstract
A calcifying fibrous tumor (CFT), also known as calcifying fibrous pseudotumor, is an uncommon non-cancerous neoplasm usually located in the gastrointestinal tract. Its location in the lung is extremely rare, and only a few case reports have been published. This case report describes our diagnostic approach in a 9-year-old male patient with an incidental pulmonary mass. The mass was initially misdiagnosed, requiring multiple imaging tests and interventions to obtain the definitive diagnosis of pulmonary CFT. This paper aims to contribute to the limited information available on pulmonary CFT by presenting detailed findings from computed tomography and magnetic resonance imaging.
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Affiliation(s)
- Andrés Felipe Herrera Ortiz
- Department of Radiology, Fundación Santa Fe de Bogotá, Bogotá D.C., COL
- Department of Radiology, Universidad El Bosque, Bogotá D.C., COL
| | - Valeria Del Castillo
- Department of Radiology, Fundación Santa Fe de Bogotá, Bogotá D.C., COL
- Department of Radiology, Universidad El Bosque, Bogotá D.C., COL
| | - José N Duarte
- Department of Radiology, Fundación Santa Fe de Bogotá, Bogotá D.C., COL
- Department of Radiology, Universidad El Bosque, Bogotá D.C., COL
| | - María J Gutiérrez
- Department of Medicine and Health Sciences, Universidad del Rosario, Bogotá D.C., COL
| | - Valeria Noguera
- Department of Radiology, Fundación Santa Fe de Bogotá, Bogotá D.C., COL
- Department of Radiology, Universidad El Bosque, Bogotá D.C., COL
| | | | - Sandra P Maldonado Acevedo
- Department of Radiology, Fundación Santa Fe de Bogotá, Bogotá D.C., COL
- Department of Radiology, Universidad El Bosque, Bogotá D.C., COL
| | - Jhon L Torres
- Department of Radiology, Fundación Santa Fe de Bogotá, Bogotá D.C., COL
| | - Bibiana Pinzón
- Department of Radiology, Fundación Santa Fe de Bogotá, Bogotá D.C., COL
- Department of Radiology, Universidad El Bosque, Bogotá D.C., COL
| | - Angela Moreno
- Department of Radiology, Fundación Santa Fe de Bogotá, Bogotá D.C., COL
- Department of Radiology, Universidad El Bosque, Bogotá D.C., COL
| | - Alejandro J Quiroz Alfaro
- Department of Internal Medicine, North Mississippi Medical Center, Tupelo, USA
- Department of Medicine and Health Sciences, Universidad del Rosario, Bogotá D.C., COL
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Rerkpichaisuth V, Hung YP. Mesenchymal tumours of the pleura: review and update. Histopathology 2024; 84:163-182. [PMID: 37691389 DOI: 10.1111/his.15035] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 08/10/2023] [Accepted: 08/14/2023] [Indexed: 09/12/2023]
Abstract
Primary mesenchymal tumours of the pleura are uncommon and can be diagnostically challenging due to their overlapping histopathologic and immunophenotypic features. Herein we discuss selected mesenchymal tumours of the pleura, including solitary fibrous tumour, calcifying fibrous tumour, desmoid fibromatosis, synovial sarcoma, schwannoma, malignant peripheral nerve sheath tumour, inflammatory myofibroblastic tumour, follicular dendritic cell sarcoma, epithelioid hemangioendothelioma, and desmoplastic small round cell tumour. We review their clinicopathologic characteristics, along with an update on the relevant immunohistochemical and molecular features.
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Affiliation(s)
- Vilasinee Rerkpichaisuth
- Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
- Department of Pathology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
| | - Yin P Hung
- Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
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Bono GLP, Lehner M, Schilling FH, Stahr N, Nowack M, Szavay PO. Complete Resection of a Large Mediastinal Calcifying Fibrous Tumor. European J Pediatr Surg Rep 2020; 8:e48-e51. [PMID: 32793407 PMCID: PMC7354863 DOI: 10.1055/s-0040-1713135] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Accepted: 04/16/2020] [Indexed: 11/09/2022] Open
Abstract
Calcifying fibrous tumor (CFT) is a benign tumor entity which can present in a variety of different sites. Till date, eight cases with a mediastinal manifestation have been published in literature. Surgical removal is the treatment of choice for this often incidentally detected tumor. Surgery of thoracic CFT may be challenging due to its localization within the mediastinum. A 10-year old boy with a right-sided thoracic pectus carinatum-like deformity was referred for further evaluation, incidentally, revealing a mediastinal mass in computed tomography (CT). Laboratory results were all within normal range. Magnetic resonance imaging (MRI) showed a large tumor in the upper anterior mediastinum suggesting expansive but not infiltrative character. The tumor was displacing surrounding structures like the heart and the diaphragm. Lower venous stasis with dilation of the inferior cava vein could be demonstrated. The tumor was considered to be of benign dignity and surgical removal was indicated. Complete tumor resection could be achieved through a sternotomy approach, along with thymectomy. A partial resection of both the pericardium and diaphragm was required due to adhesion with soft tissue at those sites. The specimen's size was 320 mm × 145 mm × 100 mm, histologically confirmed as CFT. The patient showed no residual tumor at 3- and 9-month follow-up. This case is a report on a large mediastinal CFT which underwent successful complete surgical removal. Following tumor resection, prognosis is considered to be good; however, key issue is complete resection to avoid local tumor recurrence.
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Affiliation(s)
- Géraldine L. P. Bono
- Department of Pediatric Surgery, Childrens Hospital Lucerne, Lucerne, Switzerland
| | - Markus Lehner
- Department of Pediatric Surgery, Childrens Hospital Lucerne, Lucerne, Switzerland
| | - Freimut H. Schilling
- Department of Pediatric Hematology and Oncology, Childrens Hospital Lucerne, Lucerne, Switzerland
| | - Nikolai Stahr
- Department of Pediatric Radiology, Childrens Hospital Lucerne, Lucerne, Switzerland
| | - Miriam Nowack
- Department of Pathology, UniversitätsSpital Zürich Institut für klinische Pathologie, Zurich, Switzerland
| | - Philipp O. Szavay
- Department of Pediatric Surgery, Childrens Hospital Lucerne, Lucerne, Switzerland
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Wu T, Zhu P, Duan X, Yang X, Lu D. Calcifying fibrous pseudotumor of the adrenal gland: A rare case report. Mol Clin Oncol 2016; 5:252-254. [PMID: 27588188 DOI: 10.3892/mco.2016.944] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2016] [Accepted: 05/30/2016] [Indexed: 12/31/2022] Open
Abstract
Calcifying fibrous pseudotumor (CFP) is a rare benign soft tissue lesion. We herein present an extremely rare case of CFP of the adrenal gland. A 32-year-old male patient presented to our hospital with a tumor-like lesion in the area of the left adrenal gland detected by ultrasound during a routine check-up several days prior. Contrast-enhanced magnetic resonance imaging examination revealed a solitary, well-circumscribed mass, in close proximity to the medial arterial branch of the left adrenal gland. Histological examination revealed that the tumor consisted of sheets of varying amount of inflammatory cell infiltration; interstitial fibrosis and psammomatous calcifications were also observed. To the best of our knowledge, this is the third case of CFP occurring in the adrenal gland in the published literature. We herein report the findings of this case and review the two previously reported cases of CFP of the adrenal gland with valuable information.
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Affiliation(s)
- Tao Wu
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P.R. China
| | - Pingyu Zhu
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P.R. China
| | - Xi Duan
- Department of Dermatovenereology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P.R. China
| | - Xuesong Yang
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P.R. China
| | - Dongliang Lu
- Department of Urology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P.R. China
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Mesenchymal tumours of the mediastinum--part I. Virchows Arch 2015; 467:487-500. [PMID: 26358059 PMCID: PMC4656709 DOI: 10.1007/s00428-015-1830-8] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2015] [Revised: 08/06/2015] [Accepted: 08/11/2015] [Indexed: 12/11/2022]
Abstract
The mediastinum is an anatomically defined space in which organs and major blood vessels reside with surrounding soft tissue elements. The thymus is an important organ in the mediastinum, and many of the masses encountered in the mediastinum are related to this organ. Most neoplasms diagnosed in the mediastinum are epithelial tumours (thymomas and thymic carcinomas), lymphomas or germ cell tumours. In contrast, soft tissue tumours of the mediastinum are rare. In 1963, Pachter and Lattes systematically reviewed soft tissue pathology of the mediastinum, covering the hitherto described [2, 226, 227] In this review, based on the 2013 WHO classification of soft tissue tumours and the 2015 WHO classification of tumours of the lung, pleura, thymus and heart, we provide an updated overview of mesenchymal tumours that may be encountered in the mediastinum.
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Cao KX, Rosenberg AE, Hakim J, Masiakos PT. Axillary calcifying fibrous tumor (CFT) in an 8 year old girl. J Pediatr Surg 2012; 47:2341-4. [PMID: 23217902 DOI: 10.1016/j.jpedsurg.2012.10.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2012] [Revised: 10/04/2012] [Accepted: 10/05/2012] [Indexed: 11/15/2022]
Abstract
Calcifying fibrous tumors (CFTs) are benign soft tissue masses that can occur at many sites. This case report outlines the diagnostic workup for this rare, fast-growing, solitary mass in an otherwise healthy 8 year old patient. We also describe the radiographic and pathological characteristics unique to this lesion.
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Affiliation(s)
- Kevin Xi Cao
- Department of Pediatric Surgery, Massachusetts General Hospital, Boston, MA 02114, USA
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