A Small And a Large Solitary Fibrous Tumors of the Pleura

Case Report

Austin J Med Oncol. 2023; 10(1): 1076.

A Small And a Large Solitary Fibrous Tumors of the Pleura

Blibech H1; Jebali MA1; Snene H1; Belkhir D1; Daoud S1; Mehiri N1; Ben Salah N1; Ben Farhat L2; Ayadi A3; Merghli A4; Louzir B1

1Department of Pulmonology, Mongi Slim Hospital University of Tunis El Manar Faculty of Medicine of Tunis, Tunis Tunisia

2Department of Radiology, Mongi Slim Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis Tunisia

3Department of Pathology, Abderrahmen Mami Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis Tunisia

4Department of Thoracic Surgery, Abderrahmen Mami Hospital, University of Tunis El Manar Faculty of medicine of Tunis, Tunis Tunisia

*Corresponding author: Blibech H Department of Pulmonology, Mongi Slim Hospital, 2046, Tunis, Tunisia, Tel: +21698686608 Email: hana.blibech@gmail.com

Received: September 28, 2023 Accepted: October 27, 2023 Published: November03, 2023

Abstract

Solitary Fibrous Tumor of the Pleura (SFTP) is an exceptionally rare mesenchymal tumor that typically originates from the visceral pleura and constitutes less than 5% of all pleural tumors. While it often displays benign histological features, the tumor’s behavior remains enigmatic and less comprehensively understood, primarily owing to its limited incidence and case studies.

We present two cases of SFTP. The First one was a small pleural nodule a nodule in a 61 year old patien, confirmed as a SFTP through CT-guided biopsy. Successful tumor resection was performed, with histopathological confirmation, and the patient remained recurrence-free for two years. The second one was incidental finding in a 68-year-old patient of a huge pleural mass with necrotic regions and microcalcifications on imaging. Surgical removal revealed an encapsulated tumor with myxoid features, classified as an intermediate-risk SFTP. The patient experienced no complications and had no local recurrence 16 months post-surgery.

Solitary fibrous tumors within the pleura are uncommon. The preferred treatment approach is surgical resection, with diligent post-operative monitoring.

Keywords: Solitary fibrous tumor; Pleural tumors; Thoracic surgery

Case 1

A 62-year-old male with no prior medical history presented to our hospital with chest pain. Chest X-ray revealed an apical right opacity, and a subsequent chest CT demonstrated a pleural nodule in front of the lateral segment of the middle lobe measuring 11×20 mm (Figure 1). CT-guided transthoracic biopsy confirmed SFTP, and the tumor was successfully resected via mini thoracotomy in the 5th right intercostal space. The resected mass was histopathologically confirmed to be SFTP. The patient had no local recurrence after two years.