Abstract
We resected a fist-sized, solitary fibrous tumor of the pleura (SFTP) with a minute malignant component, following percutaneous embolization of its feeding artery. The tumor had macroscopic characteristics of a benign SFTP, and most parts of it were microscopically benign. However, further careful pathological examination revealed a minute malignant component in its periphery. We report this case to show that large and mostly benign SFTPs may contain malignant components, which can be overlooked. Thus, large SFTPs should be resected in consideration of this possibility.
Similar content being viewed by others
References
Stout AP. Tumors of the pleura. Harlem Hosp Bull 1952;5(2):54–57.
Yokoi T, Tsuzuki T, Yatabe Y, Suzuki M, Kurumaya H, Koshikawa T, et al. Solitary fibrous tumour: significance of p53 and CD34 immunoreactivity in its malignant transformation. Histopathology 1998;32:423–432.
Chan JK. Solitary fibrous tumour — everywhere, and a diagnosis in vogue. Histopathology 1997;31(6):568–576.
England DM, Hochholzer L, McCarthy MJ. Localized benign and malignant fibrous tumors of the pleura. A clinicopathologic review of 223 cases. Am J Surg Pathol 1989;13(8):640–658.
Briselli M, Mark EJ, Dickersin GR. Solitary fibrous tumors of the pleura: eight new cases and review of 360 cases in the literature. Cancer 1981;47(11):2678–2689.
Sung SH, Chang JW, Kim J, Lee KS, Han J, Park SI. Solitary fibrous tumors of the pleura: surgical outcome and clinical course. Ann Thorac Surg 2005;79(1):303–307.
de Perrot M, Fischer S, Brundler MA, Sekine Y, Keshavjee S. Solitary fibrous tumors of the pleura. Ann Thorac Surg 2002;74(1):285–293.
Weiss B, Horton DA. Preoperative embolization of a massive solitary fibrous tumor of the pleura. Ann Thorac Surg 2002;73(3):983–985.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Miyoshi, K., Okumura, N., Kokado, Y. et al. Solitary fibrous tumor of the pleura with a minute malignant component and diaphragmatic vascular supply: Report of a case. Surg Today 38, 344–347 (2008). https://doi.org/10.1007/s00595-007-3618-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-007-3618-1