Solitary fibrous tumor of the pleura

Abstract

. ABSTRACT Background: Solitary fibrous tumor of the pleura (SFTP), or pleural fibromas, are rare tumors that generally, but not universally, follow a benign course, though malignant changes may encountered. Their surgical resection is the standard treatment. Aim: Is to present six cases of SFTP, their age, sex, clinical presentation, imaging findings, operative appearances, the outcome of resection, histopathological results, and any encountered morbidity or mortality. Patients and Methods: Six patients with the SFTP were studied retrospectively. They were admitted, investigated, and operated upon during 3 years period from January 1 to 31, 2020. December 2022 in the thoracic department of the surgical specialties hospital of the Medical City Teaching Complex in Baghdad, Iraq. Surgical resection was the standard treatment for those patients. Results: Four of our patients were females. The remaining two were males. Their ages range between 35 and 80 years, with a mean age of 54.6. Computed tomography scan of the chest was done for all of them in addition to a tru-cut biopsy. Thoracotomy was offered for all of them, and complete surgical removal was done for five of them. Postoperative course was smooth, with wound infection encountered in two of them treated successfully and the early appearance of a new cutaneous mass in the sixth patient, for which resection was done under local anesthesia. Conclusion: Their early surgical resection offers the best chance of cure and may prevent their progression into malignant changes.