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Solitary fibrous tumor of the pleura: 3 case reports
1Urgency and Emergency Department, Hospital Universitário Presidente Dutra, Universidade Federal do Maranhão, São Luís, MA, Brazil.
Introduction:
solitary fibrous tumor of the pleura (SFTP) is a rare tumor arising from mesenchymatous cells in submesothelial pleural tissue which, unlike mesothelioma, is not related to asbestos or smoking.
Methods:
report of four patients who underwent surgical treatment for giant SFTP and review of the pertinent literature.
Results:
of the four patients operated, two presented symptoms including cough, chest pain and feeling of compression, whereas the other two subjects were asymptomatic. All patients underwent complete surgical resection by wide posterolateral thoracotomy, and surgical specimens removed with minimum bleeding. None of the cases required complementary lobectomy or segmentectomy. All tumors were histologically benign.
Conclusion:
complete resection of the lesion is the treatment of choice in all SFTP cases. Prognosis of the benign lesion is excellent, although close follow-up is necessary. In the rarer, more aggressive forms, treatment may be complemented by adjunctive chemotherapy or radiotherapy, the benefits of which have yet to be confirmed.
Insights
Complete surgical resection is the primary treatment for solitary fibrous tumors of the pleura (SFTP). Benign SFTP has an excellent prognosis, but aggressive forms may require additional therapies.
Area of Science:
- Thoracic Surgery
- Oncology
- Pathology
Background:
- Solitary fibrous tumor of the pleura (SFTP) is a rare mesenchymal neoplasm.
- SFTP originates in submesothelial pleural tissue and is unrelated to asbestos or smoking.
Observation:
- This study reports on four patients with giant SFTP who underwent surgical treatment.
- Two patients presented with symptoms like cough and chest pain; two were asymptomatic.
- All patients underwent complete surgical resection via posterolateral thoracotomy with minimal bleeding.
Findings:
- All resected SFTPs were histologically benign.
- No cases required lobectomy or segmentectomy.
- Complete resection was achieved in all patients.
Implications:
- Complete surgical resection is the recommended treatment for all SFTP cases.
- Benign SFTPs have an excellent prognosis with necessary close follow-up.
- The efficacy of chemotherapy or radiotherapy for aggressive SFTP forms requires further investigation.
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