A 3-ports-VATS resection of a solitary fibrous tumor in the mediastinum: A case report

Abstract

A 61-year-old male was referred to our department due to the presence of a mediastinal tumor detected by chest X ray film and CT scan. The CT scan showed a mass lesion raised from the right middle mediastinum and a marginal dominant enhancement effect inside this lesion. The tumor compressed the superior vena cava and phrenic nerve strongly without invading the surrounding tissue, and was resected completely by the three-ports-VATS technique. The diagnosis of solitary fibrous tumor was made by pathological examination and immunohistochemical study. Solitary fibrous tumors most frequently arise in the visceral pleura and are rarely observed in the mediastinum. This technique could be one of the options to resect solitary fibrous tumors compressing the SVC and phrenic nerve.