Open AccessGiant solitary fibrous tumour: an uncommon approach for an uncommon tumour
Author(s) -
Rodica Bîrlă,
Stephen Clark,
A Beattie,
Deepti Agarwal
Publication year - 2020
Publication title -
annals of the royal college of surgeons of england
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.39
H-Index - 63
eISSN - 1478-7083
pISSN - 0035-8843
DOI - 10.1308/rcsann.2020.0083
Subject(s) - medicine , resection , surgery , solitary fibrous tumor , surgical resection , cd34 , stem cell , biology , genetics
Complete surgical resection of a giant solitary fibrous tumour of the pleura can be challenging. We describe our technique for dealing with one such tumour. A clamshell incision proved inadequate for visualising the extent of the tumour. An additional lower sternotomy incision was then made, which significantly improved exposure. With the aid of cardiopulmonary bypass, it was then possible to mobilise and completely excise the tumour. Complete resection remains the mainstay of treatment for such pleural-based tumours. Every attempt must be made to achieve this, including any modification of the traditional approach if required.