文献类型：期刊文献

英文题名：Resection of giant malignant solitary fibrous pleural tumor after interventional embolization: a case report and literature review

作者：Yao, Kelin[1];Zhu, Lvcong[1];Wang, Liang[1];Xia, Ruiming[2];Yang, Jianfeng[3];Hu, Wenbin[4];Yu, Zhongqiang[1]

机构：[1]Shaoxing Univ, Dept Radiol, Affiliated Hosp, Shaoxing Municipal Hosp, Shaoxing 312000, Zhejiang, Peoples R China;[2]Shaoxing Univ, Coll Med, Shaoxing 312000, Zhejiang, Peoples R China;[3]Shaoxing Peoples Hosp, Dept Radiol, Shaoxing 312000, Zhejiang, Peoples R China;[4]Shaoxing Univ, Dept Cardiothorac Surg, Affiliated Hosp, Shaoxing Municipal Hosp, Shaoxing 312000, Zhejiang, Peoples R China

年份：2022

卷号：17

期号：1

外文期刊名：JOURNAL OF CARDIOTHORACIC SURGERY

收录：SCI-EXPANDED(收录号：WOS:000803924700002)、、Scopus(收录号：2-s2.0-85130990544)、WOS

基金：The authors thank Dr. Yu Zhangsen (Medical College of Shaoxing University, Zhejiang, China) for their advice and expertise.

语种：英文

外文关键词：Solitary fibrous tumor of the pleura (SFTP); Pleura; Tumor; Computed tomography

外文摘要：Background Solitary fibrous tumor of the pleura (SFTP) is a rare mesenchymal tumor that arises at various sites and typically originates from the pleura. Most patients with SFTPs are asymptomatic, unless the tumor is large. Approximately 20% of SFTP cases are malignant. There are few reports on imaging diagnoses and interventional treatments of SFTP. Here, we report a case of a giant SFTP that exhibited malignant behavior and underwent successful resection after embolization of the main supply artery of the tumor. Case presentation We report a clinical case of a giant SFTP in a 66-year-old Chinese female patient complaining of chest tightness and cough for more than 2 months. Ten years ago, the patient had undergone a chest CT scan at a local hospital for cough. Computed tomography (CT) had revealed a mass in the right thoracic region, which was misdiagnosed as a pulmonary abscess by CT-guided biopsy. Therefore, the patient did not receive appropriate/complete treatment at that time. She was hospitalized again, because CT showed significant enlargement of the right thoracic mass, which caused her obvious symptoms of discomfort. The pathological results of CT-guided biopsy at our hospital confirmed SFTP. Considering the large size of the tumor and the rich blood supply, some of the main blood vessels were treated with embolization before surgical resection. A large tumor, about 23 cm x 16 cm x 15 cm in size, was then successfully removed by thoracic surgery. The diagnosis of malignant SFTP was confirmed by surgical pathology and immunohistochemistry. Conclusion Imaging findings of SFTPs are not characteristic, especially when a tumor is large, the diagnosis is difficult, and the final diagnosis still depends on histological and immunohistochemical examinations. The two-stage surgical treatment described here, which involves first embolization of the main supplying artery of the large tumor and then complete surgical resection, is effective and safe for SFTPs. Whether needle biopsy or vascular embolization is performed, intervention plays a crucial role in the diagnosis and treatment of patients with SFTPs.