دورية أكاديمية
Giant solitary fibrous tumor of the pleura.
| العنوان: | Giant solitary fibrous tumor of the pleura. |
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| المؤلفون: | Pinedo-Onofre JA; Subdirección de Cirugía, Servicio de Anatomía Patológica, Instituto Nacional de Enfermedades Respiratorias, México, D.F., Mexico. dr_creatura@hotmail.com, Robles-Pérez E, Peña-Mirabal ES, Hernández-Carrillo JA, Téllez-Becerra JL |
| المصدر: | Cirugia y cirujanos [Cir Cir] 2010 Jan-Feb; Vol. 78 (1), pp. 31-43. |
| نوع المنشور: | Journal Article |
| اللغة: | English; Spanish; Castilian |
| بيانات الدورية: | Publisher: Permanyer Country of Publication: Mexico NLM ID: 0372736 Publication Model: Print Cited Medium: Internet ISSN: 2444-054X (Electronic) Linking ISSN: 00097411 NLM ISO Abbreviation: Cir Cir Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : [Mexico City] : Permanyer Original Publication: México, D.F. : Academia Mexicana de Cirugía |
| مواضيع طبية MeSH: | Pleural Neoplasms/*surgery , Solitary Fibrous Tumors/*surgery, Adult ; Aged ; Angiography ; Combined Modality Therapy ; Dyspnea/etiology ; Embolization, Therapeutic ; Female ; Follow-Up Studies ; Histiocytoma, Malignant Fibrous/epidemiology ; Histiocytoma, Malignant Fibrous/pathology ; Humans ; Intraoperative Complications/epidemiology ; Male ; Middle Aged ; Neoadjuvant Therapy ; Pleural Neoplasms/blood supply ; Pleural Neoplasms/diagnostic imaging ; Pleural Neoplasms/epidemiology ; Pleural Neoplasms/pathology ; Pleural Neoplasms/therapy ; Retrospective Studies ; Solitary Fibrous Tumors/blood supply ; Solitary Fibrous Tumors/diagnostic imaging ; Solitary Fibrous Tumors/epidemiology ; Solitary Fibrous Tumors/pathology ; Solitary Fibrous Tumors/therapy ; Tomography, X-Ray Computed |
| مستخلص: | Background: Solitary fibrous tumor is the second primary malignancy of the pleura and can reach up to 39 cm in diameter; however, to be referred to as 'giant' it must occupy at least 40% of the affected hemithorax. Although this tumor usually shows a benign behavior, malignancy criteria have been described. The aim of the study was to assess the initial evaluation, diagnostic procedures, surgical management, treatment outcome, and prognosis. Methods: We performed a descriptive, observational, longitudinal, and retrospective study from 2002 to 2006 on patients who underwent surgery with a diagnosis of giant solitary fibrous tumor of the pleura. Results: Six patients were included; 83.3% were females. Mean age was 48 years. All patients were symptomatic, mainly dyspnea, cough and chest pain; 66.7% were left-sided. Preoperative angiography and embolization were performed in 83.3% cases with successful surgical resection. The predominant blood supply was derived from the internal mammalian artery. Intraoperative complication rate was 17%. A vascular pedicle was found in 66.7%. The largest lesion was 40 cm in diameter and weighed 4500 g. Only one case showed high mitotic activity. Mean follow-up to date is 14 months. Conclusions: Symptomatology found was consistent with previous reports but in higher percentages. Accurate diagnosis is critical because surgical resection involves a potential cure; however, long-term follow-up is mandatory. Preoperative embolization is recommended due to tumor size. |
| تواريخ الأحداث: | Date Created: 20100316 Date Completed: 20101019 Latest Revision: 20220331 |
| رمز التحديث: | 20221213 |
| PMID: | 20226126 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2444-054X |
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