Clinical behavior of solitary fibrous tumors of the pleura

Perrot, Marc Eugène Antoine De; Kurt, Anne-Marie; Robert, John; Borisch, Bettina; Spiliopoulos, Anastase

doi:10.1016/s0003-4975(99)00260-x

Cited by 153 publications

(144 citation statements)

References 8 publications

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“…20) Most authors agree that the CT-guided fine needle aspiration is often inconclusive. 14,15,17) Magdeleinat et al reported an accuracy rate of 45%, 18) which was similar, in comparison to that reported by Sung et al 10) The confident preoperative diagnosis of a fibrous tumor of the pleura can be made by histologic and immunohistochemical analysis of material obtained by transthoracic Tru-Cut needle biopsy.…”

Section: Discussionsupporting

confidence: 61%

“…14,15) The size of the tumors can vary greatly between 1 cm and 36 cm (mean, 6 cm) in diameter. Many large tumors are pedunculated on pleural-based pedicles with hypertrophic vasculature.…”

Section: Discussionmentioning

confidence: 99%

“…Important, favorable prognostic factors are the presence of a benign histological variant, a pedunculus, and a limited size. [10][11][12][13][14][15] The surgical treatment of choice is local removal by with intraoperative assessment of free surgical margins. 14) Video assisted Thoracoscopic Surgery (VATS) may be attempted for appropriate tumours, but conversion to open technique should be employed if margin clearance cannot be done with VATS.…”

Section: Discussionmentioning

confidence: 99%

“…15) However, local recurrence is not as worrisome in benign lesions, which have an 8% chance of recurrence, compared with malignant lesions, which have a 63% recurrence rate even after complete resection. CT scans may be used to monitor for recurrence every 6 months for the first 2 years and then yearly.…”

Section: )mentioning

confidence: 99%

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Giant Solitary Fibrous Tumour of Pleura —An Uncommon Intrathoracic Entity— A Case Report and Review of the Literature

Thakkar

Shah

Dumbre

et al. 2011

ATCS

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A 43-year-old woman presented to us with progressive breathlessness, dry cough and weight loss. A chest radiograph showed homogeneous opacification of the entire left hemithorax. A contrast enhanced computed tomography (CECT) scan of the thorax showed a large intrathoracic mass occupying almost the entire left hemithorax and appeared grossly inoperable. A transcutaneous CT guided tru-cut biopsy revealed a solitary fibrous tumour. We reviewed the CT scans based on the biopsy report, and, in retrospect, the mediastinal vessels seemed more stretched and pushed by the tumor rather than directly infiltrated by it. We performed an exploratory thoracotomy and to our surprise, were able to dissect the mass quite easily off the mediastinum. She had an uneventful postoperative recovery, and the final histopathology confirmed a solitary fibrous tumor. We report this case to emphasize that a cursory clinico-radiological interpretation can dissuade surgical intervention in these patients.

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Section: Discussionsupporting

confidence: 61%

“…14,15) The size of the tumors can vary greatly between 1 cm and 36 cm (mean, 6 cm) in diameter. Many large tumors are pedunculated on pleural-based pedicles with hypertrophic vasculature.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: )mentioning

confidence: 99%

See 2 more Smart Citations

Giant Solitary Fibrous Tumour of Pleura —An Uncommon Intrathoracic Entity— A Case Report and Review of the Literature

Thakkar

Shah

Dumbre

et al. 2011

ATCS

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show abstract

“…Magnetic resonance imaging is used to establish the borders between the lesion and adjacent structures and to confirm the intrathoracic location. 7 The role of positron emission tomography is currently being debated and more experience is needed before conclusions can be taken. 8 The differential diagnosis is wide-ranging and complex in many cases, given that bronchogenic cysts, pulmonary abscesses, other lung and pleural neoplasms, lipomas, sarcomas, and malignant fibrous histiocytomas, among other entities, can have similar clinical and radiographic signs.…”

Section: Discussionmentioning

confidence: 99%