Recurrent Localized Fibrous Tumor of the Pleura

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Recurrent Localized Fibrous Tumor of the Pleura Balakrishnan Mahesh, MS, FRCS, Colin Clelland, FRCPath, Chandana Ratnatunga, FRCS(CTh) The Annals of Thoracic Surgery Volume 82, Issue 1, Pages 342-345 (July 2006) DOI: 10.1016/j.athoracsur.2005.09.057 Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomographic scans showing (a) chest-wall reconstruction with 2 sandwiches of polypropylene mesh and cement (arrowheads), and (b) recurrent tumor adjacent to posterior ribs (arrowhead). Both scans were taken 10 months after third-time resection. Absence of adhesions between the tumor and the polypropylene mesh allowed this to be reflected anteriorly at fourth-time resection. (c) Unfortunately, infection necessitated removal of the mesh and replacement with latissimus-dorsi free flap (arrowhead). The Annals of Thoracic Surgery 2006 82, 342-345DOI: (10.1016/j.athoracsur.2005.09.057) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Representative high-power sections showing (a) abnormal mitoses (arrowhead) and (b) nuclear pleomorphism (arrowheads) in the tumor removed at third-time resection. Sections from the tumor removed at fourth-time resection (c) revealed increasing nuclear pleomorphism and myxoid stroma (arrowheads), suggestive of increasing malignant change. The Annals of Thoracic Surgery 2006 82, 342-345DOI: (10.1016/j.athoracsur.2005.09.057) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions