Perioperative anaesthetic management of a massive solitary fibrous tumour of the pleura: A case report.
Sofia Pereira, Cátia Domingues, Catarina Celestino
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Case in brief
A 77-year-old woman with a massive solitary fibrous tumour of the pleura occupying much of the right hemithorax underwent thoracotomy. The tumour created challenges for airway management, haemodynamic stability and postoperative recovery. Anaesthetic care included advanced monitoring, lung isolation, multimodal analgesia and planning for potential complications. Intraoperative coordination maintained haemodynamic stability and limited blood loss without transfusion. Thoracic epidural analgesia supported early mobilisation and respiratory recovery. Her postoperative course was favourable, and she was discharged home on the seventh day.
What made this case unusual
The tumour’s massive size and occupation of a substantial portion of the hemithorax made perioperative airway and haemodynamic management particularly challenging.
Diagnostic / clinical pearl
For thoracotomy involving a massive intrathoracic tumour, individualised anaesthetic planning and multidisciplinary coordination can help address airway, haemodynamic and postoperative challenges.