Zusammenfassung:
Solitäre fibröse Pleuratumoren sind seltene Tumoren mit unvorhersehbarem klinischen Verlauf. Wir berichten über zwei Patienten mit dem Zufallsbefund einer unklaren intrathorakalen Raumforderung. Die präoperative Diagnostik bez. der Dignität war unsicher. Bei beiden Patienten wurde über eine anterolaterale Thorakotomie ein solider Pleuratumor im Gesunden in Kombination mit einer atypischen Lungenkeilresektion entfernt. Der postoperative Verlauf war unkompliziert. Die Verlaufskontrolle nach 6 Monaten zeigte keinen Hinweis auf ein lokoregionäres Rezidiv.
Solitary fibrous tumors of the pleura are rare tumors with unpredictable clinical behaviour. We report about two patients with an incidental finding of an intrathoracic tumor. Preoperative diagnosis was uncertain. In both patients, a solid tumor of the pleura was resected en bloc in combination with a wedge resection of the lung following anterolateral thoracotomy. The postoperative course was eventful. Six months after primary complete resection there were no signs of tumor recurrence.
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Dr. P. Düster
Klinik für Herz-, Thorax- und Gefäßchirurgie Klinikum der Johannes Gutenberg-Universität Mainz
Langenbeckstr. 1
55101 Mainz