Giant solitary fibrous tumor of the pleura: an analysis of five patients.

World Journal of Surgery
Juntang GuoNaikang Zhou

Abstract

Solitary fibrous tumor of the pleura (SFTP) represents a clinical entity rarely encountered, especially in giant forms. Complete surgical resection for giant tumor of pleura is a challenge. The aim of this article is to present five new cases of giant SFTP, and to discuss their clinical characteristics and the treatment strategy of such neoplasms. We performed a retrospective review of the clinical records of five patients who underwent surgery for a huge SFTP (>18 cm in diameter) between 2007 and 2009. Four patients were symptomatic. All five patients underwent angiography and embolization of the tumor-supplying vessels within 24 h of surgery. All giant tumors were removed completely by extended postlateral thoracotomy with moderate intraoperative bleeding. Two wedge resections and one lobectomy were performed in three cases where the parenchyma had been encroached. Tumors in three patients were pathologically benign; those in the other two were malignant. The symptoms disappeared in all cases after surgery. Complete resection remains the mainstay of cure for giant SFTP. We recommend preoperative angiography and embolization for giant SFTP which can reduce the risk of hemorrhage and can contribute to piecemeal removal for radi...Continue Reading

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Citations

May 9, 2012·General Thoracic and Cardiovascular Surgery·Walid Abu ArabMarco Sirois
Dec 14, 2011·Journal of Cancer Research and Clinical Oncology·Kathrin NitscheIver Petersen
Jan 1, 2014·Thoracic Cancer·Francesco PetrellaLorenzo Spaggiari
Aug 15, 2015·Thoracic Cancer·Baodong LiuYuanbo Li
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Aug 8, 2015·Revista da Associação Médica Brasileira·Elias Amorim
Mar 4, 2014·Asian Cardiovascular & Thoracic Annals·Marcello MiglioreBorrata Francesco
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Feb 5, 2013·Acta Radiologica·Feng-yong LiuPeng Song
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Dec 28, 2018·The Korean Journal of Thoracic and Cardiovascular Surgery·Joon Young SongJong Hun Kim
Feb 22, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Walid Abu Arab

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Methods Mentioned

BETA
X-ray
biopsy
surgical resection

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