15 cm. Surgical treatment is the best choice for both benign and malignant neoplasms. We retrospectively analyzed the main case series of giant fibrous tumors of the pleura. In addition we report our experience of a 76-year-old woman treated by pre-surgical embolization involving implantation of vascular plugs. Surgery was successfully carried out without complications; imaging and functional assessment 6 months post intervention demonstrated both the absence of recurrence and improvement of lung function parameters." />
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Open Med (Wars). 2016 Jun 23;11(1):220-225. doi: 10.1515/med-2016-0042. eCollection 2016.

Integrated therapeutic approach to giant solitary fibrous tumor of the pleura: report of a case and review of the literature.

Open medicine (Warsaw, Poland)

Fabio Perrotta, Francesco Saverio Cerqua, Antonino Cammarata, Alessandro Izzo, Carlo Bergaminelli, Carlo Curcio, Carmine Guarino, Edoardo Grella, Imma Forzano, Antonio Cennamo, Domenico Tafuri, Aldo Rocca, Andrea Bianco, Gennaro Mazzarella

Affiliations

  1. Department of Cardiotho-racic and Respiratory Sciences, Second University of Naples/Hosp. Monaldi, Naples, Italy.
  2. Department of Cardiothoracic and Respiratory Sciences, Second University of Naples/Hosp. Monaldi, Naples, Italy.
  3. A.O. dei Colli - Hosp. Monaldi - Thoracic Surgery Unit, Naples, Italy.
  4. A.O. dei Colli - Hosp. Monaldi - Bronchology Unit, Naples, Italy.
  5. Department of Sport Sciences and Wellness, University of Naples "Parthenope", Naples, Italy.
  6. Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.

PMID: 28352798 PMCID: PMC5329829 DOI: 10.1515/med-2016-0042

Abstract

The fibrous tumors of the pleura are rare primary tumors, accounting for 5% of malignant pleural neoplasms, which generally originate from sub-mesothelial mesenchymal tissue of the visceral pleura. These tumours generally exhibit clinical benign behavior although 12% of solitary fibrous tumors can be malignant and have worse outcomes. These tumors are considered "giant" when the lesion > 15 cm. Surgical treatment is the best choice for both benign and malignant neoplasms. We retrospectively analyzed the main case series of giant fibrous tumors of the pleura. In addition we report our experience of a 76-year-old woman treated by pre-surgical embolization involving implantation of vascular plugs. Surgery was successfully carried out without complications; imaging and functional assessment 6 months post intervention demonstrated both the absence of recurrence and improvement of lung function parameters.

Keywords: Embolization; Giant tumors; Solitary fibrous tumor of the pleura (SFTP); Surgical treatment

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