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Open AccessArticle

Pleural Solitary Fibrous Tumors—A Retrospective Study on 45 Patients

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Department of Thoracic Surgery, “Marius Nasta” Institute of Pneumonology, 050152 Bucharest, Romania
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Department of Thoracic Surgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
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Department of Surgery, “Ponderas” Academic Hospital, 021188 Bucharest, Romania
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Department of Internal Medicine, “Floreasca” Clinical Emergency Hospital, 105402 Bucharest, Romania
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Department of Internal Medicine, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
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“Alessandrescu-Rusescu” National Institute of Mother and Child Health, Fetal Medicine Excellence Research Center, 020395 Bucharest, Romania
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Department of Cell and Molecular Biology and Histology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
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Center of Excellence in Translational Medicine, Fundeni Clinic Institute, 022328 Bucharest, Romania
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Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
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Department of Obstetrics and Gynecology, “Elias” Emergency Hospital, 105402 Bucharest, Romania
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Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
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Department of Surgery, “Pantelimon” Clinical Hospital, 021661 Bucharest, Romania
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Department of Obstetrics and Gynecology, “I Cantacuzino” Clinical Hospital, 030167 Bucharest, Romania
*
Author to whom correspondence should be addressed.
Medicina 2020, 56(4), 185; https://doi.org/10.3390/medicina56040185
Received: 4 March 2020 / Revised: 12 April 2020 / Accepted: 14 April 2020 / Published: 16 April 2020
(This article belongs to the Special Issue Interdisciplinary Medicine)
Introduction: The purpose of this paper is to study the type, the clinical presentation, and the best diagnostic methods for pleural solitary fibrous tumors (PSFTs), as well as to evaluate which is the most appropriate treatment, especially as PSFTs represent a rare occurrence in the thoracic pathology. Material and Method: A retrospective study was conducted on a group of 45 patients submitted to surgery between January 2015 and December 2019. In most cases, the diagnosis was established through imaging studies—thoracic computed tomography (CT) scan with or without contrast—but also using magnetic resonance imaging (MRI) or positron emission tomography (PET) scans when data from CT scans were scarce. All patients were submitted to surgery with curative intent. Results: Most patients included in this study were asymptomatic, with this pathology being more common in patients over 60 years of age, and more common in women. The occurrence of malignant PSFT in our study was 17.77% (8 cases). All cases were submitted to surgery with curative intent, with a single case developing further recurrence. In order to achieve complete resection en bloc resection of the tumor with the chest wall, resection was performed in two cases, while lower lobectomy, pneumectomy, and hemidiaphragm resection, respectively, were needed in each case. Postoperative mortality was null. Conclusion: Thoracic CT scan remains the most important imagistic investigation in diagnosing. MRI is superior to thoracic CT, especially in cases that involved the larger blood vessels within the thorax, spinal column, or diaphragm. Complete surgical resection is the gold standard in treatment of PSFT, and the prognosis in benign cases is very good. View Full-Text
Keywords: PSFT; resection; surgery PSFT; resection; surgery
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MDPI and ACS Style

Savu, C.; Melinte, A.; Posea, R.; Galie, N.; Balescu, I.; Diaconu, C.; Cretoiu, D.; Dima, S.; Filipescu, A.; Balalau, C.; Bacalbasa, N. Pleural Solitary Fibrous Tumors—A Retrospective Study on 45 Patients. Medicina 2020, 56, 185. https://doi.org/10.3390/medicina56040185

AMA Style

Savu C, Melinte A, Posea R, Galie N, Balescu I, Diaconu C, Cretoiu D, Dima S, Filipescu A, Balalau C, Bacalbasa N. Pleural Solitary Fibrous Tumors—A Retrospective Study on 45 Patients. Medicina. 2020; 56(4):185. https://doi.org/10.3390/medicina56040185

Chicago/Turabian Style

Savu, Cornel; Melinte, Alexandru; Posea, Radu; Galie, Niculae; Balescu, Irina; Diaconu, Camelia; Cretoiu, Dragos; Dima, Simona; Filipescu, Alexandru; Balalau, Cristian; Bacalbasa, Nicolae. 2020. "Pleural Solitary Fibrous Tumors—A Retrospective Study on 45 Patients" Medicina 56, no. 4: 185. https://doi.org/10.3390/medicina56040185

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