Smooth Muscle Tumor Originating in the Pleura: A Case Report and Updated Literature Review

Table 1

Clinical and histopathological features of previous case reports and current case report of SMT of the pleura.

Case	Sex	Age	Clinical features	Size (cm)	Histology	Origin of the tumor	Procedure	Follow-up (months)	Clinical course
1	F	21	Asymptomatic	U	SMT of UMP	Vascular smooth muscle; (pleura)	Too large for complete resection	4	Alive at 4 M without enlargement or metastasis
2	M	49	Asymptomatic	18	LMS/IG	No detail	Complete resection	8	Alive at 8 M without recurrence
3	F	23	Asymptomatic	10	SMT of UMP	Vascular smooth muscle; (pleura)	Too large for complete resection	6	Alive at 6 M without enlargement or metastasis
4	F	44	Empyema	U	LMS/IG	No detail	Complete resection	2	Alive at 2 M without recurrence
5	F	69	Chest pain	11	LMS/HG	No detail	Complete resection	12	Alive at 12 M without recurrence
6	M	32	Asymptomatic	7 (intrathoracic) + 6 (extrathoracic) = 13	SMT of UMP	No detail; (pleura)	Complete resection	12	Alive at 12 M without recurrence
7	M	73	Asymptomatic	At least 21	SMT of UMP→LMS	No detail; (pleura)	Possible incomplete resection at the apex and received radiation to reduce the risk of local recurrence	14	Alive at 14 M without recurrence
8	F	55	Asymptomatic	1.5	Leiomyoma	Microvascular wall; (pleura)	Complete resection	26	Alive at 26 M without recurrence
9	F	40	Asymptomatic	3.5	SMT of UMP	Microvascular wall; (pleura)	Complete resection	17	Alive at 17 M without recurrence
10	M	45	Chest pain	9	Leiomyoma	No detail; (pleura)	Complete resection	15	Alive at 15 M without recurrence
11	M	33	Asymptomatic	3	Leiomyoma	No detail	Complete resection	Unknown	Unknown
12	F	50	Chest pain	4	SMT of UMP	Vascular smooth muscle; (pleura)	Complete resection	53	Alive at 53 M without recurrence
13	F	48	Chest pain	18	Leiomyoma	No detail; (pleura)	Complete resection	18	Alive at 18 M without recurrence
14	F	32	Chest pain	2 tumors, unknown size	Leiomyoma	No detail	Complete resection	57	Recurrence after 1 year during follow-up; Underwent to chest wall resection. Alive at 57 M without further recurrence
15	M	43	Chest pain	2	Leiomyoma	No detail	Complete resection	40	Alive at 40 M without recurrence
16	F	28	Chest pain	4.2	Leiomyoma	No detail; (intercostal space)	Complete resection	2	Alive at 2 M without recurrence
17	F	33	Chest pain	5.3	Leiomyoma	Vascular smooth muscle; (pleura)	Complete resection	14	Alive at 14 M without recurrence
Present case	F	51	Chest pain	3.5	SMT of UMP	No detail	Complete resection	0	—

Maximum diameter of the tumor in cm.
Cases 1–5 from Moran et al. [5]; case 6 from Proca et al. [6]; case 7 from Al-Daraji et al. [7]; case 8 from Nose et al. [8]; case 9 from Tanaka et al. [9]; case 10 from Qiu et al. [10]; case 11 from Mochizuki et al. [11]; case 12 from Turhan et al. [12]; case 13 from Rodríguez et al. [13]; cases 14 and 15 from Kuman et al. [14]; case 16 from Nakada et al. [15]; case 17 from Ziyade et al. [16].
Note: U, unresectable tumors that were only debulked at surgery; SMT, smooth muscle tumor; UMP, undetermined malignant potential; LMS, leiomyosarcoma; IG, intermediate grade; HG, high grade.