Management of a malignant solitary fibrous tumor of lung by uniportal video-assisted pneumonectomy : a case report

Background: Solitary fibrous tumor (SFT) is a rare condition, first described by Klemperer and Robin in 1931. Malignant SFTs accounts for approximately 80% of all SFTs cases, and the 5-year survival of malignant SFTs is 81%. Few reports have described managing SFTs using uniportal video-assisted pneumonectomy. Case presentation: A 35-year-old man with tumor in the left pulmonary was assessed by preoperative 3D-computed tomography (3D-CT) reconstruction and treated by uniportal video-assisted pneumonectomy. A pathological diagnosis of SFT was confrmed. Conclusions: The 3D-CT reconstruction could help to provide an appropriate operative programme for surgeons. It is necessary to control the main pulmonary arterial trunk to avoid hemorrhage when preoperative evaluation does not exclude the possibility of intraoperative hemorrhage. The choice of surgery area is affected by size and location of SFT.