Abstract
Benign fibrous mesothelioma of the pleura is a rare tumor of mesodermal origin. We describe the MR findings in three pathologically proven cases. All three tumors were imaged by MR as well-circumscribed lesions with smooth margins in contact with the pleura, but without chest wall invasion. Their low signal intensity on T1-and T2-weighted sequences reflect their fibrous nature. In one case a pedicle connecting the tumor to the chest wall was visualized on a sagittal MR scan. In two cases gadolinium-enhanced T1-weighted gradient echo sequences revealed intense contrast uptake by the tumor correlated with the intratumoral hypervascularization noted by histologic examination. Although the number of cases presented is small, MR seems to be the most accurate imaging modality in the assessment of the diagnosis.
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Dedrick CG, McLoud TC, Shepard JAO, Shipley RT (1985) Computed tomography of localized pleural mesothelioma. AJR 144: 275–280
Spizarny DL, Gross BH, Shepard JAO (1986) CT findings in localized fibrous mesothelioma of the pleural fissure. J Comput Assist Tomogr 10: 942–944
Mendelson DS, Meary E, Buy JN, Pigeau I, Kirschner PA (1991) Localized fibrous pleuralmesothelioma: CT findings. Clin Imaging 15: 105–108
Lee KS, Im JG, Choe KO, Kim CJ, Lee BH (1992) CT findings in benign fibrous mesothelioma of the pleura: pathologic correlation in nine patients. AJR 158: 983–986
George JC (1993) Benign fibrous mesothelioma of the pleura: MR findings (letter). AJR 160: 204
Lee KS, Im JG (1993) Benign fibrous mesothelioma of the pleural: MR findings (letter). AJR 160: 205
Frase PA, Pare JAP, Pare PD, Fraser RS, Genereux GR (1991) Diagnostic imaging of diseases of the chest, 3rd edn. Saunders, Philadelphia
England DM, Hochholzer L, McCarthy MJ (1989) Localized benign and malignant fibrous tumors of the pleura. A clinicopathologic review of 223 cases. Am J Surg Pathol 13: 640–658
Colby TV, Yousem SA (1988) Pulmonary histology for the surgical pathologist. Am J Surg Pathol 12: 223–239
Hahn PF, Novelline RA, Mark EJ (1982) Arteriography in the localization of massive pleural tumors. AJR 139: 814–817
Briselli M, Mark EJ, Dickerson R, (1981) Solitary fibrous tumors of the pleura: eight new cases and review of 60 cases in the literature. Cancer 47: 2678–2689
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Correspondence to: B. Padovani
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Padovani, B., Mouroux, J., Raffaelli, C. et al. Benign fibrous mesothelioma of the pleura: MR study and pathologic correlation. Eur. Radiol. 6, 425–428 (1996). https://doi.org/10.1007/BF00182457
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DOI: https://doi.org/10.1007/BF00182457