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Extended intrathoracic chest wall tumor: A case report
1Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine, University Riau, Pekanbaru, Indonesia; Division of Cardiothoracic and Vascular Surgery, Arifin Achmad Hospital, Pekanbaru, Indonesia.
International Journal of Surgery Case Reports
|November 19, 2024
Summary
Recurrent solitary fibrous tumors (SFTs) of the chest wall with intrathoracic extension require complex surgical management. This case demonstrates successful resection and highlights the need for vigilant follow-up for these rare tumors.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Rare Tumors
Background:
- Solitary Fibrous Tumors (SFTs) of the chest wall are uncommon and pose surgical challenges, especially when recurrent and extending into the thoracic cavity.
- Limited literature exists on managing SFTs with significant intrathoracic involvement.
Observation:
- A 63-year-old woman presented with a painful, recurrent chest wall SFT with intrathoracic extension.
- Imaging revealed a large, complex tumor causing shortness of breath.
- Diminished breath sounds were noted on the affected side.
Findings:
- The patient underwent a challenging thoracotomy for resection of the recurrent SFT.
- Complete tumor removal was achieved despite dense vascular adhesions and significant blood loss (1100 mL).
- Histopathology confirmed SFT with low proliferative activity; recovery was uneventful.
Implications:
- Comprehensive imaging and meticulous surgical planning are crucial for recurrent chest wall SFTs.
- A multidisciplinary approach and long-term follow-up are essential for optimal patient outcomes.
- Ensuring clear resection margins is vital to prevent recurrence.
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