{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:00:49Z","timestamp":1785420049099,"version":"3.56.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T00:00:00Z","timestamp":1722384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Solitary fibrous tumor of the pleura (SFTP) is a rare primary tumor originating from mesenchymal cells located beneath the mesothelial-lined pleura. A special entity is the giant SFTP which presents unique challenges in surgical management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>Two cases of giant SFTPs in middle-aged patients are presented. Both patients presented with a recent worsening dyspnea and had imaging findings consistent with giant masses occupying the entire pleural cavity with a complete collapse of the homolateral lung and substantial contralateral deviation of heart and mediastinum. The pathological results of CT-guided transthoracic core needle biopsy was SFTP in both cases. Surgical resection was performed, and they both required two thoracotomies for complete tumor removal. Successful complete en bloc resection of the tumors was achieved with a total postoperative recovery. The first resected tumor was 30 \u00d7 20 cm and weighed 3500 g, the second was 33*x25 cm in size and weighed 4000 g. Both patients respiratory condition improved after the operation and no recurrence were noted in the follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>SFTPs are removed using various approaches: thoracotomy, sternotomy with the possibility of hemiclamshell extension, video-assisted thoracoscopic surgery (VATS), and robotic-assisted surgery. The challenge when operating giant SFTP (&gt; 15 cm) is double: adhesions and compression to the lung tissue and surrounding mediastinal structures and the hyper vascular nature of the tumor. For giant SFTPs an open approach is preferable. Resection should be complete with negative margins due to the high risk of recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These cases emphasize the significance of personalized surgical strategies for managing giant SFTPs, providing valuable insights for clinicians addressing similar cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110109","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T06:56:53Z","timestamp":1722581813000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Surgical management of giant solitary fibrous tumors of the pleura: Two case reports"],"prefix":"10.1097","volume":"122","author":[{"given":"Chaieb","family":"Wassim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bouassida","family":"Imen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelkebir","family":"Amina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdennadher","family":"Mahdi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zribi","family":"Hazem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marghli","family":"Adel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"4","key":"R1-72-20260325","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1177\/107327480601300403","article-title":"Solitary fibrous tumor of the pleura","volume":"13","author":"Robinson,","year":"2006","journal-title":"Cancer Control"},{"issue":"1","key":"R2-72-20260325","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/S0003-4975(01)03374-4","article-title":"Solitary fibrous tumors of the pleura","volume":"74","author":"Perrot,","year":"2002","journal-title":"Ann Thorac Surg. juill"},{"issue":"1","key":"R3-72-20260325","first-page":"84","article-title":"Solitary fibrous tumors of the pleura: clinical, radiological, surgical and pathological evaluation","volume":"31","author":"Lee,","year":"2005","journal-title":"Eur J Surg Oncol J Eur Soc Surg Oncol Br Assoc Surg Oncol. f\u00e9vr"},{"issue":"2","key":"R4-72-20260325","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/j.athoracsur.2012.04.028","article-title":"Solitary fibrous tumor of the pleura: outcomes of 157 complete resections in a single center","volume":"94","author":"Lahon,","year":"2012","journal-title":"Ann Thorac Surg. ao\u00fbt"},{"issue":"5","key":"R5-72-20260325","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/S1010-7940(98)00213-9","article-title":"Localized fibrous tumours of the pleura: 15 new cases and review of the literature.","volume":"14","author":"Suter","year":"1998","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"R6-72-20260325","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1186\/s13019-023-02168-7","article-title":"Surgical considerations in the resection of solitary fibrous tumors of the pleura","volume":"18","author":"Ajouz","year":"2023","journal-title":"J. Cardiothorac. Surg"},{"issue":"5","key":"R7-72-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int J Surg Lond Engl"},{"issue":"12","key":"R8-72-20260325","doi-asserted-by":"crossref","DOI":"10.3390\/cancers13122913","article-title":"A Comprehensive Review on Solitary Fibrous Tumor: New Insights for New Horizons","volume":"13","author":"Martin-Broto","year":"2021","journal-title":"Cancers"},{"issue":"6","key":"R9-72-20260325","doi-asserted-by":"crossref","first-page":"415","DOI":"10.5090\/kjtcs.2018.51.6.415","article-title":"Two-stage surgical treatment of a giant solitary fibrous tumor occupying the thoracic cavity","volume":"51","author":"Song,","year":"2018","journal-title":"Korean J Thorac Cardiovasc Surg."},{"issue":"3","key":"R10-72-20260325","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/j.ejcts.2007.05.027","article-title":"Diagnosis, treatment and long-term outcome of solitary fibrous tumours of the pleura","volume":"32","author":"Kohler,","year":"2007","journal-title":"Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. sept"},{"issue":"1","key":"R11-72-20260325","first-page":"1","article-title":"Resection of giant malignant solitary fibrous pleural tumor after interventional embolization: a case report and literature review","volume":"17","author":"Yao,","year":"2022","journal-title":"J Cardiothorac Surg. d\u00e9c"},{"issue":"1","key":"R12-72-20260325","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s13000-021-01095-2","article-title":"The many faces of solitary fibrous tumor; diversity of histological features, differential diagnosis and role of molecular studies and surrogate markers in avoiding misdiagnosis and predicting the behavior","volume":"16","author":"Tariq","year":"2021","journal-title":"Diagn. Pathol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224008903?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261224008903?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:21:59Z","timestamp":1774434119000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2024.110109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9]]},"references-count":12,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2024.110109","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,9]]},"assertion":[{"value":"2024-06-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-30","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}