Management of a malignant solitary fibrous tumor of lung by uniportal video-assisted pneumonectomy: a case report.

• Tác giả: Yanan Bao, Xiaobo Chen, Yue Cui, Ranhua Li, Guosheng Xiong, Yanlong Yang, Xiaochuan Yin, Jing Zhang, Yunping Zhao, Yong Zhou
• Ngôn ngữ: eng
• Thông tin xuất bản: England : Journal of cardiothoracic surgery , 2025
• Bộ sưu tập: NCBI
• ID: 536073

Tóm tắt

BACKGROUND: Solitary fibrous tumor (SFT) is a rare condition first described by Klemperer and Robin in 1931. Malignant SFTs account for approximately 80% of all SFT cases, and the five-year survival for malignant SFTs is 81%. Few reports have described SFT management using uniportal video-assisted pneumonectomy. CASE PRESENTATION: A 35-year-old male patient with a tumor in the left pulmonary was assessed using preoperative three-dimensional computed tomography (3D-CT) reconstruction and treated via uniportal video-assisted pneumonectomy. A pathological diagnosis of SFT was confirmed. CONCLUSIONS: The 3D-CT reconstruction may help to provide an appropriate operative strategy for surgeons. It is necessary to control the main pulmonary arterial trunk to avoid hemorrhage when preoperative evaluation does not exclude the possibility of intraoperative hemorrhage. The choice of surgery area is affected by SFT size and location.