Perioperative anaesthetic management of a massive solitary fibrous tumour of the pleura: A case report

Abstract

This case report describes the perioperative management of a massive solitary fibrous tumour of the pleura in a 77-year-old woman undergoing thoracotomy. The tumour, occupying a substantial portion of the right hemithorax, posed significant challenges regarding airway management, haemodynamic stability, and postoperative recovery. A comprehensive anaesthetic strategy was employed, including advanced monitoring, lung isolation, multimodal analgesia, and preemptive planning for potential complications. Careful intraoperative coordination minimised blood loss and maintained haemodynamic stability, avoiding the need for transfusion. Postoperative analgesia was effectively managed with a thoracic epidural catheter, facilitating early mobilisation and respiratory recovery. The patient experienced a favourable postoperative course and was discharged home on the seventh day. This case underscores the importance of individualised anaesthetic planning and multidisciplinary collaboration when managing large intrathoracic tumours.