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Malignant Solitary Fibrous Tumor

Imaging findings

Large, hypervascular thoracic tumors with associated necrosis, initially misidentified as carcinoid. These can arise from the visceral pleura and grow into the lung parenchyma.

Key takeaways

While solitary fibrous tumors are typically benign, aggressive features (necrosis, high mitotic rate) can indicate malignancy. They can be exceptionally vascular.

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