Abstract
A surgical case of solitary fibrous tumor of the pleura (SFT) which recurred 12 years after the initial operation is herein reported. The patient was a 74-year-old man with a chief complaint of abnormal finding on chest X-ray examination. In 1988 he received resection of benign pediculate type of SFT, measuring 4.6 cm in the maximum diameter in the right lung S2. Although his postoperative course was good, recurrence of SFT was found in 2000. The recurrent tumors were resected under thoracoscopy. They were two pediculate tumors, measuring 4.8 cm in the maximum diameter from the pleura of the right diaphragm, measuring 0.8 cm in the maximum diameter from the pleura of the right S10, respectively.
Histopathological examination showed that both tumors were benign SFT and similar to the findings on the previously resected specimen. Accordingly, this case was definitely diagnosed as recurrent SFT. It is concluded that even though histological examination on SFT shows no malignancy, patients should be followed up with long-term chest X-ray examination and that total resection of recurrent tumor should be performed in the early stage . In addition, dynamic CT and dynamic MRI are useful in the diagnosis and treatment of SFT.
