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>Journals >Cirugía y Cirujanos >Year 2010, Issue 1


Pinedo-Onofre JA, Robles-Pérez E, Peña-Mirabal ES, Hernández-Carrillo JA, Téllez-Becerra JL
Tumor fibroso solitario gigante de la pleura
Cir Cir 2010; 78 (1)

Language: Español
References: 72
Page: 31-43
PDF: 396.56 Kb.


Full text




ABSTRACT

Background: Fibrous solitary 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.
Methods: 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.
Results: 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 leftsided. 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 followup to date is 14 months.
Conclusions: 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.


Key words: Giant solitary fibrous tumor of the pleura.


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