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home about us site features legal contact search permissions lectures med students all cardiac chest gi bone gu ddxs neuro peds faculty lectures notes bone cardiac chest gi gu neuro images bone cardiac chest gi cases of the week pictorial ddxs case of the week archives all cases 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 medical students index recognizing series 22 must see's quizzes quick quizzes test yourself 1 question quiz miscellaneous cardiac imagecards flashcards most commons pictorial ddxs localized fibrous tumor of the pleura (aka solitary fibrous tumor of the pleura, benign mesothelioma, pleural fibroma) general considerations rare, mesenchymal primary tumors of the visceral pleura less common than diffuse malignant mesothelioma localized form is less common and not related to asbestos exposure or smoking lftp can be either benign or malignant but is much more often benign (7:1) usually patients are >50 years old most occur in the inferior portions of the hemithoraces clinical findings may be asymptomatic and found incidentally may produce chest wall pain, cough, hemoptysis, hypertrophic osteoarthropathy or hypoglycemia be cause they secrete insulin-like proteins imaging findings conventional radiography well-circumscribed soft tissue mass with sharp margin applied to a pleural surface, including the fissures angle it makes with chest wall may be acute or obtuse they can grow very large and occupy half the hemithorax ct soft-tissue mass applied to pleural surface may have a lobulated contour avidly enhances but may have lower attenuation areas of necrosis or hemorrhage, especially in larger lesions at least one angle with pleura is more often acute may have small effusion calcification is rare may have a pedicle that attached tumor to pleura malignant lesions are more often large and have necrosis mri t1 low to intermediate and t2 low intense enhancement with gadolinium differential diagnosis biopsy is required to differentiate benign from malignant form treatment resectable for cure if totally excised, they usually do not recur complications hypertrophic osteoarthropathy hypoglycemia may rarely undergo malignant transformation or recur locally prognosis 12% recurrence rate has been cited with an 88% cure overall with resection localized fibrous tumor of the pleura. cual costo viagra mexico red viagra price in pakistan Upper photo. cheapviagraforsaleusaonline.accountant buycheapviagraforsaleonlinepharmacy.accountant Large, pleural-based soft tissue mass abuts pleura in right lower lung with an acute angle (white arrow) and obtuse angle (yellow arrow) where it meets the chest wall. viagraforsalegenerictabletsonline.accountant generic viagra vs viagra Lower photo: mediastinal windows show heterogeneous nature of the contrast-enhancing mass with some areas of lower attenuation (blue arrows) most likely representing necrosis. la viagra yahoo viagra 100mg price in pakistan For these same photos without the arrows, click here and here for more information, click on the link if you see this icon emedicine. cual costo viagra mexico Imaging of localized fibrous tumor of the pleura. order viagra Ma meziane and o lababede localized fibrous tumors o. cual costo viagra mexico online order viagra If you are looking
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