Management of a malignant solitary fibrous tumor of lung by uniportal video-assisted pneumonectomy: a case report.

IF 1.5 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiothoracic Surgery Pub Date : 2025-02-21 DOI:10.1186/s13019-025-03375-0
Ranhua Li, Yanlong Yang, Yanan Bao, Yong Zhou, Yue Cui, Guosheng Xiong, Jing Zhang, Yunping Zhao, Xiaobo Chen, Xiaochuan Yin
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Abstract

Background: Solitary fibrous tumor (SFT) is a rare condition first described by Klemperer and Robin in 1931. Malignant SFTs account for approximately 80% of all SFT cases, and the five-year survival for malignant SFTs is 81%. Few reports have described SFT management using uniportal video-assisted pneumonectomy.

Case presentation: A 35-year-old male patient with a tumor in the left pulmonary was assessed using preoperative three-dimensional computed tomography (3D-CT) reconstruction and treated via uniportal video-assisted pneumonectomy. A pathological diagnosis of SFT was confirmed.

Conclusions: The 3D-CT reconstruction may help to provide an appropriate operative strategy for surgeons. It is necessary to control the main pulmonary arterial trunk to avoid hemorrhage when preoperative evaluation does not exclude the possibility of intraoperative hemorrhage. The choice of surgery area is affected by SFT size and location.

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单门视频辅助全肺切除术治疗恶性孤立性肺纤维瘤1例。
背景:孤立性纤维性肿瘤(SFT)是一种罕见的疾病,由Klemperer和Robin于1931年首次描述。恶性SFTs约占所有SFT病例的80%,恶性SFTs的五年生存率为81%。很少有报道描述使用单门静脉视频辅助全肺切除术治疗SFT。病例介绍:一名35岁男性左肺肿瘤患者术前三维计算机断层扫描(3D-CT)重建评估并通过单门视频辅助全肺切除术治疗。病理诊断为SFT。结论:三维ct重建可为外科医生提供合适的手术策略。术前评估不排除术中出血的可能性时,控制肺动脉主干以避免出血是必要的。手术区域的选择受SFT大小和位置的影响。
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来源期刊
Journal of Cardiothoracic Surgery
Journal of Cardiothoracic Surgery 医学-心血管系统
CiteScore
2.50
自引率
6.20%
发文量
286
审稿时长
4-8 weeks
期刊介绍: Journal of Cardiothoracic Surgery is an open access journal that encompasses all aspects of research in the field of Cardiology, and Cardiothoracic and Vascular Surgery. The journal publishes original scientific research documenting clinical and experimental advances in cardiac, vascular and thoracic surgery, and related fields. Topics of interest include surgical techniques, survival rates, surgical complications and their outcomes; along with basic sciences, pediatric conditions, transplantations and clinical trials. Journal of Cardiothoracic Surgery is of interest to cardiothoracic and vascular surgeons, cardiothoracic anaesthesiologists, cardiologists, chest physicians, and allied health professionals.
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