Korean Journal of Thoracic and Cardiovascular Surgery 2018; 51(6): 415-418  https://doi.org/10.5090/kjtcs.2018.51.6.415
Two-stage Surgical Treatment of a Giant Solitary Fibrous Tumor Occupying the Thoracic Cavity
Joon Young Song, M.D.1, Kyung Hwa Kim, M.D.1,2, Ja Hong Kuh, M.D.1,2, Tae Youn Kim, M.D.1,2, and Jong Hun Kim, M.D.1,2
1Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School,
2Research Institute of Clinical Medicine, Biomedical Research Institute of Chonbuk National University Hospital
Corresponding author: Jong Hun Kim, Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School, 20 Geonji-ro, Deokjin-gu, Jeonju 54907, Korea
(Tel) 82-63-250-1480 (Fax) 82-63-250-1480 (E-mail) kim77jh@gmail.com
Received: June 19, 2018; Revised: August 30, 2018; Accepted: August 31, 2018.; Published online: December 5, 2018.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
A solitary fibrous tumor (SFT) is a mesenchymal fibroblastic tumor inside the pleura, for which complete surgical resection is the standard treatment. For large SFTs, preoperative identification of tumor-feeding vessels using angiography is important for achieving complete resection without unexpected operative bleeding. Extensive adhesions can make resection difficult in a limited operative window, and pulmonary resection may be required to achieve complete SFT resection. Herein, we report successful resection of a large pleural SFT in a 39-year-old man without any complications using a 2-stage approach, in which ligation of the feeding vessels through small another operative window was the first step.
Keywords: Tumor, benign, Pleura, Surgery, Complication


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