Solitary fibrous tumors are an uncommon slow growing benign neoplasm originally described as a pleural neoplasm but can also be found in the lung, mediastinum, peritoneum, or any other sites including the head and neck.
Case ReportA 37 year old female presented to the Oral and Maxillofacial Surgery clinic complaining of a bump on her posterior scalp. She was referred to our clinic by general surgery for evaluation and removal of this lesion. She states that the lesion had slowly begun to increase in size approximately 2 years ago, but was first noticed approximately 4 years ago. She stated that the lesion was very uncomfortable for her and hurt at times when sleeping. On clinical examination, there was a well-circumscribed mass at the right occipital quadrant. The lesion was approximately 5 9 6 cm in size. It was soft, not fluctuant, with a sessile base and mildly tender to palpation. No overlying erythema or ulceration was noted.It was difficult to ascertain the mobility of the lesion due to the location in the posterior occipital region and the thickness of the scalp tissue but appeared to be mobile. No neurological deficits were noted. A Computed Tomography (CT) scan was performed, revealing a well circumscribed 65 mm 9 30 mm 9 60 mm right parietal soft tissue mass of heterogeneous densities which was contiguous with the calvarium over 50 mm without bony erosion or remodeling and sharply defined from adjacent soft tissues (Fig. 1). After the risks, benefits, and alternatives were discussed with the patient, informed consent of excisional biopsy was signed. The patient was then prepped and draped in the standard sterile fashion. An incision was made using a #15 blade taking an elliptical portion of tissue overlying the lesion. After initial dissection, it was noted that the lesion