Case report
Surgical Management of Endobronchial Solitary Fibrous Tumors

https://doi.org/10.1016/j.athoracsur.2010.02.024Get rights and content

Solitary fibrous tumors of the pleura are rare neoplasms with both benign and malignant behaviors that are not reliably predicted by histologic findings. We report the case of a 55-year-old woman with recurrent pneumonias whose left mainstem bronchus was occluded by a 2.1- × 1.4-cm endobronchial mass that extended extraluminally into the subcarina. The mass was tissue diagnosed to be a solitary fibrous tumor preoperatively, and was completely resected by sleeve resection of the left mainstem bronchus with lung preservation. This report describes the challenging surgical management of an infrequently encountered tumor in a unique location.

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Although most SFTP arise in the pleura, an intraparenchymal or endobronchial location is a rare occurrence. To our knowledge, endobronchial SFTP has been documented in two prior reports. Histologic attributes have been described in an attempt to predict malignant potential. England and colleagues [7] described 223 patients, 141 (63%) benign and 82 (37%) malignant. They established the following features suggestive of malignancy: (1) mitotic counts exceeding 4/10 high-power fields, (2) necrosis,

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