Radiological Case: Giant Solitary Fibrous Tumor of the Pleura

Erica Rego; Brian A. Solomon, MD


Appl Radiol. 2018;47(9):41-43. 

In This Article


Giant solitary fibrous tumors of the pleura are part of a broad class of fibroblastic lesions that can occur nearly anywhere in the body. These relatively rare tumors are often asymptomatic, eventually presenting with symptoms related to mass effect on adjacent structures or occasionally from paraneoplastic phenomena. The imaging features are typical of benign lesions: well circumscribed, without necrosis or local invasion and often have a significant systemic blood supply. This case also highlighted the PET scan findings of mild FDG activity. They are rarely malignant and complete surgical resection is usually curative.