test page Localized fibrous tumors of the pleura are round or oblong, and the margins are circumscribed and sometimes lobulated. These tumors, commonly found in the dependent portions of the thorax, may range from 1 to 39 cm in diameter [1]. Large tumors usually displace rather than invade adjacent structures. Because of the presence of a vascular pedicle in 30-50% of patients, these tumors may show a change in shape and location with changes in respiration or position [1, 2, 3]. On unenhanced ct scans, localized fibrous tumors show soft-tissue attenuation [1]. Mr images show intermediate to low signal intensity on t1-weighted images and low signal intensity on proton density- and t2-weighted images [1]. On ct and mr images, marked enhancement caused by the rich vascularization is usually seen with the administration of iv contrast material [1, 3]. Ct and mr images may show associated cysts and regions of hemorrhage and necrosis [3]. In a study by england et al. viagra sales in india [4] tumoral calcifications were seen in 7% of patients and pleural effusions were identified in up to 17% of patients. Rib erosion is rare. Although approximately half the patients with localized fibrous tumors of the pleura are asymptomatic, cough, chest pain, and dyspnea may be presenting symptoms, especially in patients with large tumors [1, 2]. viagra online shopping india Hypertrophic osteoarthropathy was seen in 4-35% of patients, and hypoglycemia was noted in up to 5% of patients according to ferretti et al. [1] and briselli et al. [2]. order viagra online usa The fibrous acellular nature of localized fibrous tumors makes diagnosis by transthoracic needle biopsy difficult [1]. These tumors are usually slow-growing mass-es, and surgical excision is usually curative [4]. Local recurrence has been reported in 16% of patients, but malignant transformation is rare [3]. viagra over the counter in france Previous section next section footnotes from the weekly radiologic—pathologic correlation conferences conducted by gary j. Whitman. cheap viagra Address correspondence to m. priceline pharmacy viagra Truong. viagra generic â© american roentgen ray society previous section â  references ↵ ferretti gr, chiles c, choplin rh, coulomb m. generic viagra without prescription Localized benign fibrous tumors of the pleura. female viagra free sample Ajr 1997;169:683-686 free full text ↵ briselli m, mark ej, dickersin gr. viagra cheap online Solitary fibrous tumors of the pleura: eight new cases and review of 360 cases in the literature. Cancer 1981;47:2678-2689 crossref medline ↵ lee ks, im j-g, choe ko, kim cj, lee bh. Ct findings in benign fibrous mesothelioma of the pleura: pathologic correlation in nine patients. Ajr 1992;158:983-986 abstract / free full text ↵ england dm, hochholzer l, mccarthy mj. Localized benign and malignant fibrous tumors of the pleura: a clinicopathologic review of 223 cases. Am j surg pathol 1989;13:640-658 medline citeulike connotea delicious digg. ordering generic viagra canada