Kalliopi Athanassiadi1, Dimitrios
Soufleris1, Irini Mavromati2, Maria Mis2, Stylianos Benakis3, Theodore
Argyrakos4 and Eleni Papagianni4
Surgery, "EVANGELISMOS" General Hospital, Athens, Greece,
2Anaesthesiology, "EVANGELISMOS" General Hospital, Athens, Greece,
3Radiology, "EVANGELISMOS" General Hospital, Athens, Greece,
4Pathology, "EVANGELISMOS" General Hospital, Athens, Greece
(SFTs) are rare primary neoplasms that most commonly involve the
pleura, mediastinum and lung arising from the submesothelial tissue.
They usually show a benign clinical course. Immunohistochemical
analysis is used to make the diagnosis. We reviewed our experience to
obtain a better understanding of this disease.
In this study, we reviewed 13 patients, 11 male, 2 female, who
were admitted to our hospital in the period 2006-2014. Their age ranged
from 25-44 years. All but one were asymptomatic. In 12 cases it was an
incidental finding on a chest CT scan performed for another reason. In
the last case the patient came hemodynamically unstable due to rupture
of the tumor in the pleural cavity causing a massive hemothorax.
All but one were electively led to the operating room and
complete resection was performed either through thoracotomy or
video-assisted thoracic surgery (VATS). The patient suffering from
massive hemothorax was submitted urgently to thoracotomy and the
hemorrhage stopped as soon as the tumor was excised. In this case the
tumor expanded to the spine and a second operation by the neurosurgeons
offered to the patient definitive cure. The postoperative course was
uneventful and there was no recurrence during 12-93 (mean 42) months of
follow-up in all our cases.
SFTPs are rare tumors usually benign and asymptomatic.
2. Complete resection of SFTs is curative. 3. Morphological and
pathological features are important in distinguishing them from other
tumors and in predicting clinical behaviour.
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