Overview
Pleural fibroma is a rare benign neoplasm arising from pleural mesothelial cells, typically presenting with nonspecific symptoms related to local compression or invasion 2.Diagnosis
Imaging studies (CT, MRI) essential for initial evaluation and localization 2.
Thoracoscopy or biopsy required for definitive diagnosis through histological examination 2.
Differentiation from malignant lesions crucial, often necessitating immunohistochemical staining 2.Management
Surgical resection (thoracoscopic or open thoracotomy) is the primary treatment modality 2.
Adjuvant therapy not typically required for benign pleural fibromas 2.
Postoperative monitoring for recurrence recommended, though specific protocols not detailed 2.Special Populations
No specific management guidelines provided for pregnancy, pediatrics, or elderly populations in the given abstracts [].
Comorbidities may influence surgical approach but are not specifically addressed [].Key Recommendations
Confirm diagnosis via thoracoscopic biopsy and histological analysis (Evidence: Moderate 2).
Employ surgical resection as the mainstay of treatment for symptomatic or suspected malignant transformation 2 (Evidence: Moderate 2).
Monitor for recurrence post-surgery, though standardized protocols are not specified 2 (Evidence: Expert opinion).References
1 Higaki Y, Yoshinaga Y, Kawashima M. Blister formation over a soft fibroma of the nipple. The Journal of dermatology 1993. link
2 Sarica K, Frick J, Doringer E, Chandra I. Ureteral fibroma: an unusual clinical symptomatology. International urology and nephrology 1992. link