A resected case of postoperative recurrent malignant solitary fibrous tumor of the pleura in a young patient

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  • Matsubara Kei
    Department of Thoracic Surgery, Kagawa Prefectural Central Hospital Department of Thoracic Surgery, Iwakuni Clinical Center
  • Misao Takahiko
    Department of Thoracic Surgery, Kagawa Prefectural Central Hospital
  • Kawana Shin-ichi
    Department of Thoracic Surgery, Kagawa Prefectural Central Hospital
  • Yoshikawa Takeshi
    Department of Thoracic Surgery, Kagawa Prefectural Central Hospital
  • Aoe Motoi
    Department of Thoracic Surgery, Kagawa Prefectural Central Hospital

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  • 再切除が奏功した若年者の再発悪性孤立性線維性腫瘍の1例―本邦術後再発症例の集計と検討―

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<p>We present a case of postoperative recurrent malignant solitary fibrous tumor of the pleura in a young patient that was successfully resected. The patient was a 22-year-old female who (initially) presented with chest pain. CT revealed a mass of 11 cm in diameter in the right lower thoracic cavity. Although CT-guided needle biopsy failed to provide a definitive diagnosis, the mass was suspected to be a solitary fibrous tumor of the pleura based on radiological features. We performed thoracotomy and resection with curative intent. The intrathoracic mass was extirpated in combination with partial resection of the diaphragm, lung, and parietal pleura. The pathological diagnosis was malignant solitary fibrous tumor of the pleura. One year after surgery, the tumor relapsed on the right chest wall, and we resected the recurrent mass including the 10th and 11th ribs. There has been no evidence of recurrence for seven years since the second operation. Surgical resection was useful for controlling postoperative local recurrence of the malignant solitary fibrous tumor. We have also reviewed the Japanese literature on postoperative recurrent solitary fibrous tumors, including those with a benign pathology, and paid attention to the time to recurrence after surgery.</p>

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