Tumor fibroso localizado da pleura: análise de 11 novos casos

Abstract

We present a retrospective revision of a pathology, rare in his incidence (5% of the pleural tumours) and singular in his characteristics, analyzing the presentation forms, surgical treatment and results. The solitary tumours of the pleura are a rare entity, whose biological behaviour is not related with immunohistochemical characteristics; although considered benign, they present sensitive recidivation index and metastization, independently of the volume that they present. he surgery is the only available treatment, and complete surgical excision is decisive. From August 1995 to January 2003, in the casuistry of the Department of Cardiothoracic Surgery in Santa Marta's Hospital, were analyzed all the patients with the diagnosis of localized fibrous tumour of the pleura (TFLP). In this context, were identified 11 patients with a medium age of 57,54 years old, 6 of them females, in which the diagnosis of located fibrous tumour of the pleura was established; 6 of the tumours were classified as malignant. All the patients were submitted to surgical excision, with different techniques, without significant intra-operative mortality or intra-hospital morbidity, despite the difficulty of surgery in the most voluminous tumours (one of the tumours weight was 2,5 kg). The follow up elapsed between 4 and 84 months (average - 39,4 months). One patient died 13 months after the surgery, after several crises of lung embolism (that began without determinable relationship with the surgery or the initial pathology), despite the controlled ambulatory anti-coagulation.