ABSTRACT

Solitary fibrous tumors of the pleura are rare neoplasms and its clinical behavior is unpredictable. Giant tumors may present a surgical approach dilemma. A 63-year-old woman presented with history of progressive dyspnea. Chest roentgenogram and computed tomography revealed a huge tumor that occupied most of the left chest and shifted mediastinum to the right side. Patient initially underwent an extended left posterolateral thoracotomy but due to dense adhesions to the diaphragm, an eight intercostal space lateral thoracotomy was performed. This surgical approach helped us to complete in block resection, expedited surgery, and possibly avoiding intraoperative complications.

KEYWORDS

Solitary fibrous tumor of the pleura, surgery, thoracotomy.

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