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Case Reports in Surgery
Volume 2012, Article ID 826454, 4 pages
http://dx.doi.org/10.1155/2012/826454
Case Report

A Hemiclamshell Incision for a Giant Solitary Fibrous Tumor of the Right Hemithorax

1Department of Thoracic Surgery, Adnan Menderes University, 09000 Aydın, Turkey
2Department of Pulmonology, Adnan Menderes University, 09000 Aydın, Turkey
3Department of Pathology, Adnan Menderes University, 09000 Aydın, Turkey
4Department of Cardiovascular Surgery, Adnan Menderes University, 09000 Aydın, Turkey

Received 25 September 2012; Accepted 16 October 2012

Academic Editors: A. Carretta and M. Rangarajan

Copyright © 2012 Nilgün Kanlıoğlu Kuman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 41-year-old female was admitted with respiratory distress. Chest radiographs showed opacity in the right hemithorax with mediastinal shift. Computed tomography (CT) scan showed a pleural mass with a 22 cm diameter occupying the whole right hemithorax and causing atelectasis. Magnetic resonance imaging (MRI) showed lower position of the right hemidiaphragm and the liver. Superior vena cava and heart were shifted to left. Presence of infiltration to the adjacent tissues could not be clearly evaluated because of pressure effect. Transthoracic needle biopsy specimen was reported to be benign. Because of the size and location of the mass, a hemiclamshell incision was chosen, which allowed excellent visualization and complete dissection of the giant tumor. The histopathology of the resected specimen confirmed solitary fibrous tumor. The patient was stabilized by careful observation and treatment. No complication except pneumonia in the postoperative first month occurred during the 22-month follow-up period.