Giant solitary fibrous tumor of the epicardium causing reversible heart failure

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Abstract

A 68-year-old woman with a 2-year history of dyspnea and fatigue was admitted to our hospital with a massive pericardial effusion. Computed tomography and cardiovascular magnetic resonance imaging revealed a huge (17 cm maximum diameter) intrapericardial mass. After successful tumor resection, a giant solitary fibrous tumour of the epicardium was diagnosed by histology. Histologic features of malignancy were absent, and the patient is alive and well 1 year after the operation, undergoing close follow-up at regular intervals. Recurrences have been exceptionally reported in benign solitary fibrous tumors, and experience with this exceptionally rare and enigmatic cardiac tumor is lacking. © 2013 The Society of Thoracic Surgeons.

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Bianchi, G., Ferrarini, M., Matteucci, M., Monteleone, A., Aquaro, G. D., Passino, C., … Glauber, M. (2013). Giant solitary fibrous tumor of the epicardium causing reversible heart failure. Annals of Thoracic Surgery, 96(2). https://doi.org/10.1016/j.athoracsur.2013.02.053

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