Solitary Fibrous Tumors of the Pleura: How to remove it?

Motus I, Altman E, Grinberg L, Bar-Haim R, Khalifa M, Gurevich A, Gavrilov A, Samohvalov A, Makhoul N, Bazhenov A and Vishnya J

Department of Thoracic Surgery, Urals Research Institute for Phthisiopulmonology, Russia
Department of Thoracic Surgery, Western Galilee Hospital, Israel

^*Correspondance to: Motus I 

 PDF  Full Text DOI: 10.25107/2474-1647.1358

Abstract

The data of 22 patients with solitary fibrous tumors of the pleura subjected to surgical treatment are presented. A special attention is paid to the problem of surgical approach for removal of the tumor. In 5 patients tumors were removed by video-assisted thoracoscopy. Thoracotomy was performed in 12 patients. In 9 patients where tumors were 15 cm or more in diameter there were difficulties during dissection the tumor and evacuation it from the pleural cavity. Additional lower thoracotomy to dissect the lower part of the tumor and extract it from the cavity by “push-pull” manner was performed in 2 cases. Full median sternotomy was performed in 3 patients where the tumor was close to major blood vessels of the mediastinum, pleural cupola and lung hilus. Hemiclamshel approach was performed in 2 patients. Transient haemodynamic collapse after removing the bulky tumors occurred in 2 patients. One patient died after surgery from fibrinolytic bleeding occurred after removal of a huge tumor via thoracotomy. Hospital complication and mortality rates were 13.6%, and 4.5% respectively. The choice of surgical access for removal of the tumor depends on the CT picture and intraoperative situation. Creation of a definite protocol is of importance. A relative rarity of these tumors makes it difficult to process.

Keywords

Solitary fibrous tumors; Tumor; Paraneoplastic symptoms

Cite the article

Motus I, Altman E, Grinberg L, Bar-Haim R, Khalifa M, Gurevich A, et al. Solitary Fibrous Tumors of the Pleura: How to remove it? Clin Surg. 2017; 2: 1358.