Surgical approach to pleuropulmonary solitary fibrous tumour in the anterior mediastinum: case series at a third-level centre

Solitary fibrous tumour (SFT) is an uncommon neoplasm, and its occurrence in the anterior mediastinum is particularly rare, as other differential diagnoses would initially be considered. Clinically, SFTs are typically asymptomatic and are often discovered incidentally through imaging studies. Definitive treatment is achieved through complete surgical resection with negative margins, followed by subsequent histopathological analysis. We present three cases of anterior mediastinal SFT managed at our institution in 2024, treated via both open surgery and a minimally invasive approach using robotic-assisted thoracic surgery. Additionally, we discussed the clinical considerations and criteria guiding the choice between open and robotic surgical approaches.