RT Journal Article
SR Electronic
T1 Primary Leiomyoma of the Visceral Pleura: An Unexpected Occurrence
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 2457
OP 2463
DO 10.21873/invivo.12525
VO 35
IS 4
A1 CORNEL SAVU
A1 ALEXANDRU MELINTE
A1 ALEXANDRU GIBU
A1 STEFANIA VARBAN
A1 CAMELIA DUACONU
A1 BOGDAN SOCEA
A1 MIHAI DIMITRIU
A1 IRINA BALESCU
A1 NICOLAE BACALBASA
YR 2021
UL http://iv.iiarjournals.org/content/35/4/2457.abstract
AB Background/Aim: Leiomyoma is a rare benign tumor originating from smooth muscle fibres. In the respiratory tract, these tumors are rare and in the pleura, cases are exceptional, with only a few reported so far. This is the main reason we decided to present this case of primary leiomyoma of the visceral pleura. Case Report: We present a case of a 51-year-old asymptomatic patient who, during a routine medical examination using standard chest radiography, presented with a 3 by 2 cm homogenous mass in the right superior pulmonary area, tangent to the chest wall (same level with the 3rd rib). Further investigation using computed tomography (CT) in the chest confirmed the presence of a 31/18 mm solid mass in the right upper lobe, in contact with the parietal pleura. Surgery was performed for two reasons: i) removal of the tumoral mass and ii) establishing a histopathological diagnosis. Intraoperatively, a well-defined, homogenous, ivory white non-infiltrating mass was discovered in the right upper lobe on the visceral pleura and in close proximity to the minor fissure. The mass was removed with negative surgical margins and was left with healthy tissue. Histopathological examination and immunohistochemistry came as a surprise, establishing our diagnosis of leiomyoma. Conclusion: Primitive pleural leiomyoma must remain a possibility when considering the differential diagnosis of pleural tumors. The main course of treatment is complete surgical resection. In our case, long-term follow up did not present any local recurrence.