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Background <p>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.</p> Case presentation <p>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.</p> Conclusions <p>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.</p>

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

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年2月21日

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  • Ranhua Li,
  • Yanlong Yang,
  • Yanan Bao,
  • Yong Zhou,
  • Yue Cui,
  • Guosheng Xiong,
  • Jing Zhang,
  • Yunping Zhao,
  • Xiaobo Chen,
  • Xiaochuan Yin

摘要

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.