Abstract

SOLITARY FIBROUS TUMOUR OF THE PLEURA: SURGICAL TREATMENT, OUR CASES ANALYSE.

Fadil Gradica*, Dhimitraq Argjiri, Lutfi Lisha, Fahri Kokici, Alma Cami and Edlira Ndreu

Abstract

Rationale: Solitary fibrous tumors (SFT) of the pleura are rare tumours, originated from the mesenchimal tissue, underlying the mesothelial layer of the pleura. This tumours present unpredictable clinical course, probably related to their histological and morphological characteristics. Objective: The aim of the study was to evaluate our experience of surgical treatment of Solitary fibrous tumours (SFT) of the pleura. Material and Patients: Twenty-one (27) patients affected by SFT of the pleura were referred to us for surgical resection in our clinic in SU”Shefqet Ndroqi” from September 1999 to April 2014. Results: Surgical excision required 19 posterolateral thoracotomies, seven anterio-lateral thoracotomies and one video-assisted thoracoscopy. Average tumor diameter was 8.5 cm (range, from 4.5cm to 25 cm) and weight was 130 g (range from 5g to 2,560 g). In all our patients resections were complete. No intraoperative or perioperative medical or surgical complications occurred. Median chest-drain duration timed 3 (range 2-5) days and median hospital stay was 5 (range 4-7) days. We have no perioperative mortality. Only one patient experienced tumour recurrence. Conclusions Surgical resection of benign solitary fibrous tumours is usually curative, but local recurrences can occur years after seemingly adequate surgical treatment. Malignant solitary fibrous tumours generally have a poor prognosis. Clinical and radiological follow-up are indicated for both benign and malignant solitary fibrous tumours.

Keywords: Solitary fibrous tumor of the pleura, clinical features, imaging, pathology, treatment, SFT: Solitary fibrous tumours.