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
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- 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.
- KMID: 2433886
- DOI: http://doi.org/10.5090/kjtcs.2018.51.6.415
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.
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