Solitary fibrous tumours, should they always considered to be benign gigantic masses?

Yıl 2017, Cilt: 2 Sayı: 1, 15 - 19, 16.04.2017

Soner Gürsoy Banu Yoldaş , Ahmet Üçvet Ozan Usluer Serkan Yazgan Zekiye Aydoğdu Dinç

Öz

Background:
Solitary fibrous tumors (SFT) are rare seen tumors
assessed to be originated from pleura. Even though they are benign, after their
complete resections malignant recurrences might be seen in follow up period. In
this study, based on our case series undergone complete surgical resection due
to SFT, we looked for an answer whether if it is convenient to accept these tumors
as benign or not.

Materials
and Methods: Patients undergone surgery between January 2000 and January
2011 were included in this study. Follow up data, patients and tumor
histopathological characteristics were analysed.

Results:
Our series consisted of 14 cases (eight male, six female) with a mean age of
49.5 ± 15.3 (15-70 years). All patients’ undergone thoracotomy, and complete
resection was performed. The mean follow-up was 50.3 ± 30.6 months (between 9 -101
months). Two recurrences were detected and both patients died due to recurrent
disease.

Conclusions:
Though they are considered to be benign lesions, SFT
have a potential to come along with malignant recurrences.  Recurrences were observed in giant
tumors and this makes us think if it is possible to overlook a malignant focus
in histopathological observation in such kind of big tumors. In this
sense, patients should be informed in this regard and a complete and wide
resection should be performed as much as possible with a long time follow up
period as malignant diseases.

Anahtar Kelimeler

Pleura, lung, pathology (intrathoracic), wedge resection

Kaynakça

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