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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Solitary fibrous tumors of the pleura are uncommon and mainly arise in the pleura itself&#46; Such tumors are generally asymptomatic and slow-growing&#46; We report a series of 10 cases &#40;8 men and 2 women with a mean age of 58&#46;6 years&#41; treated over a period of 54 months&#46; The tumors were classified histologically as benign or malignant according to the criteria used by England&#46; The treatment of choice was complete resection of the tumor&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Six posterolateral thoracotomies and 4 video-assisted resections were performed&#46; Histology showed a mixture of fibroblast-like cells and collagenous stroma&#46; Sarcomatous degeneration was observed in the excised tumor of 1 patient&#46; The patients were followed for a mean of 23&#46;9 months&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">We conclude that although fibrous tumors of the pleura are considered benign histologically&#44; complete resection and follow up for all patients are recommended&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Los tumores fibrosos pleurales solitarios son lesiones in-frecuentes que en su mayor&#237;a derivan de la pleura&#46; Generalmente asintom&#225;ticos&#44; poseen un crecimiento lento&#46; En el presente trabajo se describe una serie de 10 casos &#40;8 varones y 2 mujeres&#44; con una edad media de 58&#44;6 a&#241;os&#41; tratados en un per&#237;odo de 54 meses&#46; Histol&#243;gicamente se clasifi-caron como benignos o malignos bas&#225;ndose en los criterios de England&#46; El tratamiento de elecci&#243;n fue la cirug&#237;a con criterios de resecci&#243;n completa&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Se realizaron 6 toracotom&#237;as posterolaterales y 4 resecciones por videocirug&#237;a&#46; Microsc&#243;picamente estaban constituidos por c&#233;lulas de aspecto fibrobl&#225;stico&#44; entremezcladas con estroma colagenizada&#46; Uno de los pacientes present&#243; una degeneraci&#243;n sarcomatosa en la pieza&#46; Se sigui&#243; a los pacientes en consultas&#44; con un seguimiento medio de 23&#44;9 meses&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En conclusi&#243;n&#44; los tumores fibrosos pleurales&#44; aunque considerados histol&#243;gicamente benignos&#44; precisan de la resecci&#243;n completa&#46; Se recomienda el seguimiento evolutivo en todos los pacientes&#46;</p>"
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Journal Information
Vol. 40. Issue 9.
Pages 419-421 (September 2004)
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Vol. 40. Issue 9.
Pages 419-421 (September 2004)
Case Reports
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Localized Fibrous Tumors of the Pleura: Clinical and Surgical Evaluation
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J.M. Galbis Caravajala, J.G. Sales Badíaa, M. Navarro Hervásb, J.J. Mafé Madueñoc, P. Cordero Rodríguezd, J.M. Rodríguez Paniaguac,
Corresponding author
jgalbis@hospital-ribera.com

Correspondence: Dr. J.M. Galbis. C/ Ayora 35, 1.°, 1.a. 46018 Valencia. España
a Servicio de Cirugía Torácica, Hospital de La Ribera, Alzira, Valencia, Spain
b Servicio de Anatomía Patológica, Hospital de La Ribera, Alzira, Valencia, Spain
c Servicio de Cirugía Torácica, Hospital General Universitario de Alicante, Alicante, Spain
d Servicio de Neumología, Hospital de La Ribera, Alzira, Valencia, Spain
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Solitary fibrous tumors of the pleura are uncommon and mainly arise in the pleura itself. Such tumors are generally asymptomatic and slow-growing. We report a series of 10 cases (8 men and 2 women with a mean age of 58.6 years) treated over a period of 54 months. The tumors were classified histologically as benign or malignant according to the criteria used by England. The treatment of choice was complete resection of the tumor.

Six posterolateral thoracotomies and 4 video-assisted resections were performed. Histology showed a mixture of fibroblast-like cells and collagenous stroma. Sarcomatous degeneration was observed in the excised tumor of 1 patient. The patients were followed for a mean of 23.9 months.

We conclude that although fibrous tumors of the pleura are considered benign histologically, complete resection and follow up for all patients are recommended.

Key Words:
Fibrous tumor of the pleura
Pleura
Mesothelioma

Los tumores fibrosos pleurales solitarios son lesiones in-frecuentes que en su mayoría derivan de la pleura. Generalmente asintomáticos, poseen un crecimiento lento. En el presente trabajo se describe una serie de 10 casos (8 varones y 2 mujeres, con una edad media de 58,6 años) tratados en un período de 54 meses. Histológicamente se clasifi-caron como benignos o malignos basándose en los criterios de England. El tratamiento de elección fue la cirugía con criterios de resección completa.

Se realizaron 6 toracotomías posterolaterales y 4 resecciones por videocirugía. Microscópicamente estaban constituidos por células de aspecto fibroblástico, entremezcladas con estroma colagenizada. Uno de los pacientes presentó una degeneración sarcomatosa en la pieza. Se siguió a los pacientes en consultas, con un seguimiento medio de 23,9 meses.

En conclusión, los tumores fibrosos pleurales, aunque considerados histológicamente benignos, precisan de la resección completa. Se recomienda el seguimiento evolutivo en todos los pacientes.

Palabras clave:
Tumor fibroso pleural
Pleura
Mesotelioma
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Copyright © 2004. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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