Localized fibrous tumors of the pleura (LFTP) are rare, slow growing thoracic neoplasms with variable malignant potential. This study reviews the clinical presentation, surgical treatment, local recurrence and long-term survival of patients undergoing curative resection of LFTP in our department.
This is a retrospective chart review of 13 patients undergoing resection of LFTP. Tumors were classified as malignant, or benign based on degree of cellularity, mitotic activity and nuclear pleomorphism.
There were 9 women and 4 men with a median age of 65 years (range 45-81 years). Four patients (30.8%) presented with symptoms including chest pain and weight loss (n=1), chest pain alone (n=2) and cough (n=1). Nine patients had no symptoms and the diagnosis was made based on incidental radiological findings. Tumor size ranged from 1.2 to 24 cm, with a mean of 7.2 cm. Two tumors were considered malignant and the remaining 11 were benign. Both patients with malignant LFTP recurred locally and required a total of 7 additional resections. One out of 11 tumors (9.1%), which was classified as benign also recurred and required 3 additional resections. All patients are alive at a median follow-up of 34.5 months.CONCLUSIONS: Malignant LFTP have a higher incidence of local recurrence compared to benign LFTP. Resection of recurrent tumors is recommended as long-term survival is excellent.
LFTP is a rare pleural tumor, however, pulmonary phsisician should be aware as complete resection yield excellent survival.
R.S. Santos, None.