Which surgical treatment is commonly used for solitary fibrous tumor?

Which surgical treatment is commonly used for solitary fibrous tumor?

• A. VATS wedge resection
• B. Lobectomy
• C. Pneumonectomy
• D. Radiation therapy alone

Answer: (A)

Solitary fibrous tumors of the pleura are typically treated with complete surgical excision to achieve negative margins and minimize recurrence. When the lesion is small and located peripherally, a minimally invasive approach like video-assisted thoracoscopic surgery to perform a wedge resection is ideal because it removes the tumor while preserving most of the surrounding lung tissue and carries less morbidity than larger operations. More extensive surgeries such as removing an entire lobe or a pneumonectomy are generally unnecessary unless the tumor involves a larger portion of the lung or cannot be removed safely with a smaller resection. Radiation therapy alone is not the primary treatment; it’s considered mainly when surgery isn’t possible or when margins are positive in malignant or unresectable cases. So, the commonly used surgical treatment is a VATS wedge resection.

Solitary fibrous tumors of the pleura are typically treated with complete surgical excision to achieve negative margins and minimize recurrence. When the lesion is small and located peripherally, a minimally invasive approach like video-assisted thoracoscopic surgery to perform a wedge resection is ideal because it removes the tumor while preserving most of the surrounding lung tissue and carries less morbidity than larger operations. More extensive surgeries such as removing an entire lobe or a pneumonectomy are generally unnecessary unless the tumor involves a larger portion of the lung or cannot be removed safely with a smaller resection. Radiation therapy alone is not the primary treatment; it’s considered mainly when surgery isn’t possible or when margins are positive in malignant or unresectable cases. So, the commonly used surgical treatment is a VATS wedge resection.