Solitary Fibrous Tumor of the Pleura

Author: Jules Lin, MD
Institution: University of Michigan
Date Reviewed: February 2014
Learning Domain: General Thoracic
Learning Objective: Evaluation of and surgical decision making associated with a solitary fibrous tumor.
PowerPoint File: Solitary Fibrous Tumor of the Pleura

Discussion Points

• Extent of resection – en-bloc resection of adjacent lung
• Mediastinal lymph node dissection not necessary
• Locally recurrent disease should be resected

Learning Points

• Rare spindle-cell tumors often asymptomatic until very large in size
• 80% are benign
• Can be associated rarely with hypoglycemia and hypertrophic pulmonary osteoarthropathy (clubbing and periostitis)
• 80% arise from visceral pleura
• Often on a stalk that can be transected without resecting much lung