Single port VATS resection of a sessile solitary fibrous tumour of the visceral pleura. A case report


COD: 2445_24_9_2015_ep Categorie: ,

Antonio Mazzella, Alessandro Izzo, Dario Amore, Antonio Cennamo, Francesco Saverio Cerqua, Fabio Perrotta

Ann. Ital. Chir.Published online (EP) 24 September 2015

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The solitary fibrous tumour of the visceral pleura is a rare neoplasm that derives from mesenchymal cells adjacent tothe mesothelial tissue of pleura. Surgical resection is the treatment of choice in benign lesions and healing resulting inhalf of malignant. Local recurrence can occur in malignant cases, but it is very rare in solitary benign tumors. It maybe a result of an incomplete or conservative surgery, lack of identification of a tumor during the operation or a growthof a synchronous neoplasm independent from that removed. Surgical resection is also burdened with some difficulty asthe size of the tumor, the relationship with the adjacent structures and identification of the vascular peduncle. We reporta case of 72 years-old male with a sessile left solitary fibrous tumour of the visceral pleura. The mass of 10 x 7 x 5cm was attached, thanks to large planting base, to lateral basal segment of left lower lobe. The patient was treated bysingle port video assisted approach with a 4 cm skin incision. This case, in our knowledge, represents the first resectionby single port VATS of a sessile SFTP with a large plating base and, more generally, the third SFTP resection treatedby single portal access.