Abstract
Mediastinal solitary fibrous tumors (SFTs) are rarely found in adults and there are few reports describing primary mediastinal SFT invading the diaphragm. We report the case of a 47-year-old woman with a large right inferior mediastinal SFT. Magnetic resonance imaging showed the tumor invading the right lower lobe of the lung and the right hemidiaphragm, with displacement of the inferior vena cava (IVC) and right lobe of the liver. Angiogram showed IVC stenosis. To our knowledge, this is the first report of complete resection of the tumor combined with right lower lobectomy of the lung and partial resection and reconstruction of the right diaphragm with a Dacron flap.
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References
de Perrot M, Fischer S, Brundler MA, Sekine Y, Keshavjee S. Solitary fibrous tumors of the pleura. Ann Thorac Surg 2002;74:285–293.
Nascimento AG. Solitary fibrous tumor: a ubiquitous neoplasm of mesenchymal differentiation. Adv Anat Pathol 1996;3:388–395.
Fletcher CD. The evolving classification of soft tissue tumours: an update based on the new WHO classification. Histopathology 2006;48:3–12.
Witkin GB, Rosai J. Solitary fibrous tumor of the mediastinum. A report of 14 cases. Am J Surg Pathol 1989;13:547–557.
Gannon BR, O’Hara CD, Reid K, Isotalo PA. Solitary fibrous tumor of the anterior mediastinum: a rare extrapleural neoplasm. Tumori 2007;93:508–510.
Khalifa MA, Montgomery EA, Azumi N, Gomes MN, Zeman RK, Min KW, et al. Solitary fibrous tumors: a series of lesions, some in unusual sites. South Med J 1997;90:793–799.
Sagawa M, Ueda Y, Matsubara F, Sakuma H, Yoshimitsu Y, Aikawa H, et al. Intrapulmonary solitary fibrous tumor diagnosed by immunohistochemical and genetic approaches: report of a case. Surg Today 2007;5:423–425.
Versuluis PJ, Lamers RJ. Localized pleural fibroma: radiological features. Eur J Radiol 1994;18:124–125.
Magdeleinat P, Alifano M, Petino A, Le Rochais JP, Dulmet E, Galateau F, et al. Solitary fibrous tumors of the pleura: clinical characteristics, surgical treatment and outcome. Eur J Cardiothorac Surg 2002;21:1087–1093.
Goodlad JR, Fletcher CDM. Solitary fibrous tumor arising at unusual sites: analysis of a series. Histopathology 1991;19:515–522.
Shiraishi T, Hirayama S, Hiratsuka M, Iwasaki A, Makimoto Y, Iwasaki H, et al. Mediastinal solitary fibrous tumor: report of a case with direct invasion to the trachea. Thorac Cardiovasc Surg 2004;52(2):110–112.
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Xue, X., Chen, J., Ma, W. et al. Mediastinal solitary fibrous tumor with right diaphragm invasion: Report of a case. Surg Today 39, 332–334 (2009). https://doi.org/10.1007/s00595-008-3841-4
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DOI: https://doi.org/10.1007/s00595-008-3841-4