Korean J Thorac Cardiovasc Surg.  2018 Dec;51(6):415-418. 10.5090/kjtcs.2018.51.6.415.

Two-stage Surgical Treatment of a Giant Solitary Fibrous Tumor Occupying the Thoracic Cavity

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School, Korea. kim77jh@gmail.com
  • 2Research Institute of Clinical Medicine, Biomedical Research Institute of Chonbuk National University Hospital, Korea.

Abstract

A solitary fibrous tumor (SFT) is a mesenchymal fibroblastic tumor inside the pleura, for which complete surgical resection is the standard treatment. For large SFTs, preoperative identification of tumor-feeding vessels using angiography is important for achieving complete resection without unexpected operative bleeding. Extensive adhesions can make resection difficult in a limited operative window, and pulmonary resection may be required to achieve complete SFT resection. Herein, we report successful resection of a large pleural SFT in a 39-year-old man without any complications using a 2-stage approach, in which ligation of the feeding vessels through small another operative window was the first step.

Keyword

Tumor, benign; Pleura; Surgery; Complication

MeSH Terms

Adult
Angiography
Fibroblasts
Hemorrhage
Humans
Ligation
Pleura
Solitary Fibrous Tumors*
Thoracic Cavity*
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