Abstract

In this report, we describe the surgical resection of a pedunculated solitary fibrous tumor of the pleura (SFTP) by single-incision thoracoscopic surgery (SITS). SITS may be a suitable surgical option for pedunculated SFTPs.

Highlights

  • Solitary fibrous tumor of the pleura (SFTP) is a relatively rare pleural tumor that generally arises from the visceral pleura as an asymptomatic pleural-based mass [1]

  • We present a case of SFTP, which was initially diagnosed as a thymoma during a preoperative computed tomography (CT) scan

  • We describe the first case of a pedunculated SFTP, resected by minimally invasive single-incision thoracoscopic surgery (SITS)

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Summary

Background

Solitary fibrous tumor of the pleura (SFTP) is a relatively rare pleural tumor that generally arises from the visceral pleura as an asymptomatic pleural-based mass [1]. We present a case of SFTP, which was initially diagnosed as a thymoma during a preoperative computed tomography (CT) scan. We describe the first case of a pedunculated SFTP, resected by minimally invasive single-incision thoracoscopic surgery (SITS). Case presentation An 81-year-old woman was admitted to our hospital for further examination of an abnormal shadow found on a chest CT. She had a history of thymectomy for thymoma. The tumor stalk was suspended using articulating endograspers (Covidien, Norwalk, CT, USA) and was resected using an articulating endostapler (Covidien) (Figure 2C). Because the tumor was pedunculated and relatively small, it could be resected with sufficient margin. The patient was followed up for 6 months, and no evidence of recurrence was observed

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