Solitary fibrous tumor of the trachea: a case report

Abstract

We experienced a surgical case of a rare primary tracheal tumor. A 77-year-old woman visited a local clinic with chief complaints of coughing, wheezing, and discomfort in the throat. Computed tomography revealed a mass measuring approximately 1.5 cm in the mediastinal trachea, extending from the membranous portion of the trachea to the esophagus. Bronchofibroscopy showed a flat, smooth-surfaced, round mass arising from the membranous portion. Surgery was performed because of the possibility of airway obstruction and suffocation. Sleeve resection of five tracheal rings was performed via median sternotomy and interrupted suture was performed using 3-0 absorbable suture material. The postoperative course was favorable and there has been no evidence of recurrence. The pathological diagnosis was solitary fibrous tumor. A primary solitary fibrous tumor of the trachea is extremely rare. Here, we report this disease with a literature review.

Endoscopic treatment of solitary fibrous tumor of the trachea: a case report

“…SFT usually interests adults between 20 and 70 years, indifferently male and female. This tumor grows slowly not determining pain, it can be associated with symptoms of compression, sometimes however its behavior is unforeseeable (9)(10)(11). SFTs show no specific tumor-oriented symptoms.…”

Diagnostics and Treatment of Extrameningeal Solitary Fibrous Tumors

“…A few studies showed that pelvic [27,30,41], abdominal [27,42], and pleural [27,40,43] SFTs tend to be larger than tumors appearing in other locations, and extrapleural SFTs may show potentially malignant behavior [44], especially those with limb localization [45]. Generally, over the years, SFTs have been described in various localizations, including the liver [46,47], kidney [48][49][50], pancreas [23,51,52], sigmoid colon [31], mesocolon [14], omentum [53,54], urinary bladder [55], caecum wall [56], mesorectum [41], prostate [57], spermatic cord [58], testis [59], scrotum [60], female gynecological tract, especially the vulva [61,62], vagina [63], breast [64][65][66], heart and pericardium [33,67,68], epicardium [69], pulmonary artery [70], trachea [71], larynx [32,72], tongue [15], salivary glands [73]<...…”