Objectives: The aim of this study is to evaluate the clinical behavior of the solitary fibrous tumors of pleura and the optimal surgical approach for these rare tumors.

Material and Methods: We have reviewed the records of six patients who underwent tumor resection in our clinic between 1997 and 2004 retrospectively.

Results: Six patients were operated in this period and the mean age was 42.3 years. None of them have been exposed to asbestosis. Symptoms were presented in five patients. All patients underwent thoracotomy. Tumor was originated from visceral pleura in five patients and parietal pleura in one. All patients underwent tumor excision. Mean diameter for tumor was 14cm (range 6 to 24). Pathology results were reported as benign solitary fibrous tumor of the pleura for all the six patients. Resection was complete in all patients. There was no postoperative mortality and major complications. No recurrence has been observed during the mean 53.5 months follow-up.

Conclusion: Solitary fibrous tumors of the pleura are rare neoplasms and can reach to giant diameters. Complete surgical resection is the optimal treatment for these tumors and risk of malignancy in larger masses should be remembered. ©2007, Firat University, Medical Faculty