Pericardial malignant solitary fibrous tumour with right atrial invasion – a case report and literature review

Zhang, Liping; Zhang, Lu; Wang, Guanqun; Adhikari, Binay Kumar; Liu, Quan; Zhang, Weihua

doi:10.1177/0300060519843734

Cited by 8 publications

(20 citation statements)

References 29 publications

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“…Cardiac involvement is infrequent, and there is only one report from right atrium invasion. 9 Exertional dyspnea is the most frequent symptom in these patients, which is because of mass effect on the heart. Previous reported pericardial SFT cases and our case are listed in Table 1.…”

Section: Discussionmentioning

confidence: 99%

Intrapericardial solitary fibrous tumor: A case report and review of literature

et al. 2021

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Solitary fibrous tumor (SFT) is a mesenchymal neoplasm, which mostly originating from pleura but occasionally from other parts of the body including deep soft tissue, peritoneum, mediastinum, bones, orbit, and parotid glands. [1][2][3][4][5] Extrapleural SFTs are extremely rare and affect males and females equally. 6 Complete surgical resection is the main treatment if possible. 7 Although most SFTs have benign behavior, local recurrence or histologic malignancy could notice in 10%-30% of these kinds of tumors. 6 Herein, we describe SFTs arising from pericardium as a rare condition with some complications during index admission.

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Section: Discussionmentioning

confidence: 99%

Intrapericardial solitary fibrous tumor: A case report and review of literature

et al. 2021

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“…SFTs and fat-forming SFTs share similar clinical features. Malignant fat-forming SFT has also been reported [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Fat-forming solitary fibrous tumor of the sacrum: A case report and literature review

Furuta

Nakai

Gonoi

et al. 2021

Radiology Case Reports

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Fat-forming variant of solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm. Here we report the case of a 33-year-old woman who developed pain and muscle weakness from the posterior aspect of the right hip to lower extremity. Imaging examinations revealed a mass with fatty components and hypervascular solid components filling the sacral spinal canal and sacral foramen. The sacral mass was resected and histological examination of the specimens revealed patternless proliferation of short spindle-shaped cells with staghorn blood vessels. A number of mature adipocyte-like cells were also observed. The tumor cells were positive for STAT6 and the nuclei of the adipocytes were also positive, which was diagnostic for fat-forming SFT.

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“…Cardiac SFT are exceedingly rare with limited cases of SFT involving the pericardium documented in the literature. [4][5][6][7][8] Chest radiography, echocardiography, computed tomographic scan (CT scan), positron emission tomography (PET)-CT and magnetic resonance imaging (MRI) are each useful in the diagnosis and origin of the cardiac SFTs. 9 Pericardial and epicardial cases of cardiac SFTs are mostly benign with only four reported malignant Kristen Fain and Kanak Parmar contributed equally to this work.…”

Section: Introductionmentioning

confidence: 99%

“…They mostly originate from the pleura however, extra‐pleural locations including deep soft tissue, peritoneum, mediastinum, bones, orbit, and parotid glands have been reported. Cardiac SFT are exceedingly rare with limited cases of SFT involving the pericardium documented in the literature 4–8 . Chest radiography, echocardiography, computed tomographic scan (CT scan), positron emission tomography (PET)‐CT and magnetic resonance imaging (MRI) are each useful in the diagnosis and origin of the cardiac SFTs 9 .…”

Section: Introductionmentioning

confidence: 99%

An unusual location of solitary fibrous tumor in heart—A case report and review of literature

et al. 2022

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Background Solitary fibrous tumor (SFT) are rare spindle cell tumors originating from the mesenchymal cells mostly from the visceral pleura. SFT was first described as a distinct entity in 1931 by Klemperer et al. Until now, we have limited data regarding the manifestation and behavior of extra pleural forms such as cardiac SFT. Here we present a case of SFT involving the pericardium where the diagnosis was made by imaging followed by biopsy findings. We also review the literature of SFT involving the heart and the management approaches. Case Presentation An 81‐year‐old male presented with progressive dyspnea. Computed tomography (CT) of the chest showed a 6.2 × 5.3 cm soft tissue mass in the anterior mediastinum. Further imaging with CT angiogram showed a stalk‐like connection to the pericardium. A biopsy of the mass showed spindle cells positive for BCL‐2, CD34, and STAT 6, indicative of a solitary fibrous tumor. A surveillance approach was adopted for the patient. Conclusion Primary pericardial tumors are exceedingly rare, with a prevalence rate of 0.001%‐0.007%. Diagnosing a SFT requires a positive CD34 and BCL‐2 marker. The current recommendation is resection of localized disease which has been documented to be curative in cases of benign disease however our patient was put on surveillance.

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Pericardial malignant solitary fibrous tumour with right atrial invasion – a case report and literature review

Cited by 8 publications

References 29 publications

Intrapericardial solitary fibrous tumor: A case report and review of literature

Intrapericardial solitary fibrous tumor: A case report and review of literature

Fat-forming solitary fibrous tumor of the sacrum: A case report and literature review

An unusual location of solitary fibrous tumor in heart—A case report and review of literature

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