163P - Solitary fibrous tumors of the pleura: Surgical treatment, analysis of our cases from September 1999 to August 2014

Date 17 April 2015
Event ELCC 2015
Session Poster lunch
Topics Lung and other Thoracic Tumours
Surgery and/or Radiotherapy of Cancer
Presenter Fadil Gradica
Citation Annals of Oncology (2015) 26 (suppl_1): 48-50. 10.1093/annonc/mdv052
Authors F. Gradica1, L. Lisha1, D. Argjiri2, F. Kokici3, A. Cami3, G. Cerga4, P. Hyska5, P. Kapisyzi2
  • 1Thorax Surgery Service, University Hospital "Shefqet Ndroqi", ++355AL - Tirane/AL
  • 2Pneumology Service, University Hospital "Shefqet Ndroqi", ++355AL - Tirane/AL
  • 3Anestesie-reanimation Service, University Hospital "Shefqet Ndroqi", ++355AL - Tirane/AL
  • 4Pathology Service, University Hospital "Shefqet Ndroqi", ++355AL - Tirane/AL
  • 5Imagery Service, University Hospital "Shefqet Ndroqi", ++355AL - Tirane/AL

Abstract

Aim/Background

Solitary fibrous tumours (SFT) of the pleura are rare tumours, originating from the mesenchimal tissue. These tumours present an unpredictable clinical course, probably related to their histological and morphological characteristics.

We present our experiency in surgical treatment of our cases with solitary fibrous tumour of the pleura, from September 1999 to August 2014.

Methods

Twenty-five (25) patients affected by SFT of the pleura were referred to us for surgical resection in our clinic in SU“Shefqet Ndroqi” from September 1999 to August 2014. All the patients had chest radiographs, computerized tomogrphy, lung function tests and ECG, and biochemical study. All patients underwent a bronchoscopy prior to surgery. The diagnosis was estabilish by fine needle aspiration biopsy, video-assisted thoracic surgery (VATS) biopsy or open biopsy. Immuno-histochemical reactions positive for CD34 were not performed in all patients.

Results

Surgical excision required 20 posterolateral thoracotomies, five anterior lateral thoracotomies and no video-assisted thoracoscopy. Average tumor diameter was 8.5 cm range from (4-28 cm) and weight was 130 g, range from (20-2650 gram). In all our patients resections were complete. No intraoperative or perioperative medical or surgical complications occurred. Median hospital stay was 5 days while perioperative mortality rate was 0. Median follow-up was 70 months. Only one patient experienced tumour recurrence.

Conclusions

Surgical resection of benign solitary fibrous tumours is usually curative. Malignant solitary fibrous tumours generally have a poor prognosis. Clinical follow-up and radiological follow-up are indicated for both benign and malignant solitary fibrous tumours.

Disclosure

All authors have declared no conflicts of interest.