Article

Recurrent localized fibrous tumor of the pleura.

Division of Thoracic Surgery, John Radcliffe Hospital, Oxford, United Kingdom.
The Annals of thoracic surgery (impact factor: 3.74). 08/2006; 82(1):342-5. DOI:10.1016/j.athoracsur.2005.09.057 pp.342-5
Source: PubMed

ABSTRACT Localized fibrous tumors of the pleura are rare. They are often asymptomatic and may have symptoms based on size, bronchial invasion, or hormone production, or a combination of these. Complete resection offers the best chance of cure. However, recurrence is reported in a significant number of patients and can often be treated by repeated resection, albeit with increasing difficulty. We present a case in which delayed recurrence occurred after excision of such a tumor. This required a chest-wall resection and reconstruction after which a second recurrence occurred. Further thoracotomy including a latissimus dorsi free flap procedure was needed for a third-time recurrence.

0 0
 · 
0 Bookmarks
 · 
16 Views
  • Source
    Article: Giant solitary fibrous tumor of the pleura.
    Javier Alfonso Pinedo-Onofre, Eurídice Robles-Pérez, Erika Sagrario Peña-Mirabal, José Amado Hernández-Carrillo, José Luis Téllez-Becerra
    [show abstract] [hide abstract]
    ABSTRACT: Solitary fibrous tumor is the second primary malignancy of the pleura and can reach up to 39 cm in diameter; however, to be referred to as 'giant' it must occupy at least 40% of the affected hemithorax. Although this tumor usually shows a benign behavior, malignancy criteria have been described. The aim of the study was to assess the initial evaluation, diagnostic procedures, surgical management, treatment outcome, and prognosis. We performed a descriptive, observational, longitudinal, and retrospective study from 2002 to 2006 on patients who underwent surgery with a diagnosis of giant solitary fibrous tumor of the pleura. Six patients were included; 83.3% were females. Mean age was 48 years. All patients were symptomatic, mainly dyspnea, cough and chest pain; 66.7% were left-sided. Preoperative angiography and embolization were performed in 83.3% cases with successful surgical resection. The predominant blood supply was derived from the internal mammalian artery. Intraoperative complication rate was 17%. A vascular pedicle was found in 66.7%. The largest lesion was 40 cm in diameter and weighed 4500 g. Only one case showed high mitotic activity. Mean follow-up to date is 14 months. Symptomatology found was consistent with previous reports but in higher percentages. Accurate diagnosis is critical because surgical resection involves a potential cure; however, long-term follow-up is mandatory. Preoperative embolization is recommended due to tumor size.
    Cirugia y cirujanos 78(1):31-43. · 0.14 Impact Factor
  • Source
    Article: Imaging of benign solitary fibrous tumor of the pleura: a pictorial essay.
    Luciano Cardinale, Francesco Ardissone, Irene Garetto, Valerio Marci, Giovanni Volpicelli, Federica Solitro, Cesare Fava
    [show abstract] [hide abstract]
    ABSTRACT: Solitary fibrous tumor of the pleura (SFTP) is a mesenchymal tumor that tends to involve the pleura, and is also described in other thoracic and extrathoracic sites. SFTP usually presents as a peripheral mass abutting the pleural surface, to which it is attached by a broad base or by a pedicle that allows it to be mobile. SFTPs exist in benign and malignant forms. A precise pre-operative diagnosis can be arrived at with a cutting-needle biopsy, although most cases are diagnosed with postoperative histology and immunohistochemical analysis. In this pictorial essay, we review a large series of cases, with emphasis on the radiographic appearance of these lesions and their findings from computed tomography, magnetic resonance imaging, ultrasonography and positron emission tomography.
    Rare tumors 01/2010; 2(1):e1.
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

bronchial invasion
 
chest-wall resection
 
Complete resection
 
delayed recurrence
 
latissimus dorsi free flap procedure
 
Localized fibrous tumors
 
patients
 
recurrence
 
resection
 
second recurrence
 
third-time recurrence
 
thoracotomy
 

Balakrishnan Mahesh