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Ann Thorac Surg 2005;79:303-307
© 2005 The Society of Thoracic Surgeons

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Original article: General thoracic

Solitary Fibrous Tumors of the Pleura: Surgical Outcome and Clinical Course

^a Department of Thoracic Surgery, Seoul National University
^b Department of Thoracic Surgery
^c Department of Radiology
^d Department of Pathology, Samsung Medical Center, Sungkyunkwan University
^e Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan, Seoul, South Korea

Accepted for publication July 6, 2004.

^* Address reprint requests to Dr Park, Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan, 388-1 Poongnap-dong, Songpa-gu, Seoul 138-736, South Korea (E-mail: sipark{at}amc.seoul.kr).

BACKGROUND: The aim of this study was to define more precisely the surgical outcome and clinical course of solitary fibrous tumors of the pleura.

METHODS: We conducted a retrospective review of the clinical records of patients who had undergone surgical resection for benign and malignant solitary fibrous tumors of the pleura during a 10-year period (1993 to 2003).

RESULTS: Sixty-three patients were enrolled in the study (men, 29; women, 34; mean age, 49.6 years). Thirty-six patients (57.1%) were symptomatic at the time of diagnosis. Resection was performed through a thoracotomy (n = 37), by means of video-assisted thoracoscopy (n = 22), or through a sternotomy (n = 4). Mass excision only was performed in 34 cases, and en bloc excision including adjacent structures was performed in 29 cases. Forty-four cases (69.8%) were benign and 19 (30.2%) were malignant. Local recurrences occurred in three cases and distant metastases in eight. Recurrences occurred only in malignancy. Symptomatic presentation and the impression of a nonpleural tumor by imaging study were found to be related to a malignant pathologic diagnosis. The radiologic impression of solitary fibrous tumors of the pleura was also related to mass excision only.

CONCLUSIONS: For malignant cases, complete surgical resection may be insufficient for the cure. Therefore, further study should be performed to define the role of preoperative and postoperative systemic treatment.

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