Report of a case of solitary fibrous tumour of the orbit

Meyer, Tufi Neder; Matos, Bruno Henrique Figueiredo; Oliveira, Lucinei Roberto; Mendonça, Alexandre Tourino

doi:10.1007/s10006-012-0366-1

Cited by 8 publications

(5 citation statements)

References 9 publications

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“…Initially thought to be of mesothelial origin, they have been historically referred to as benign mesothelioma, localised fibrous mesothelioma and pleural fibromas [5]. Their extrapleural involvement and ubiquitous nature have been well described over the last century with publications documenting primary cases arising from the respiratory tract [6], orbit [7], thyroid [8], adrenal gland [9], spinal cord [10], meninges [11], breasts [12], peritoneum [13], pancreas [14] and soft tissues [15]. …”

Section: Discussionmentioning

confidence: 99%

Solitary fibrous tumour of the liver—report on metastasis and local recurrence of a malignant case and review of literature

Chen

Slater

2017

World J Surg Onc

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BackgroundSolitary fibrous tumours (SFT) are neoplasms of mesenchymal origin that predominantly arise from the pleura. SFT of the liver (SFTL) are a rare occurrence with little number of cases reported in English literature. Malignant cases of hepatic SFT are an even rarer occurrence. For this reason, the prognostic evaluation of SFTLs is unknown and difficult to measure.MethodsA search on English literature on “Solitary Fibrous Tumour of the Liver” was conducted on common search engines (PubMed, Google). All published articles, case reports and literature reviews and their reference lists were reviewed.Case reportThis paper presents a 61-year-old male who was referred to a tertiary hospital in April 2010 with marked hepatomegaly. USS, CT and MRI scans were suggestive of a neoplasm, and the patient underwent a subsegmental IVb resection in June 2010. The specimen demonstrated histological and immunohistochemical features of malignant SFTL with clear resection margins. The patient was followed up regularly for 3 years with imaging and no suggestion of recurrence. Six years after the initial surgery, the patient represented with worsening right upper quadrant pain and dyspnoea secondary to extensive tumour recurrence adjacent to the resection site and metastatic deposits in the pleura. The patient was managed symptomatically and discharged for community follow-up after palliative involvement.ConclusionsSFTL are rare with only 84 cases reported in the English Literature including the present case. The average age of patients is 57.1 and occurs in females more than males (1.4:1). Most SFTLs follow a benign course, however, 17.9% of cases displayed malignant histological features. Only three cases including the current case are reported to have both local recurrence and metastasis. Surgical resection remains the mainstay of treatment and appears to be curative of most cases. The rarity of this tumour makes it difficult to evaluate its prognosis and natural course.

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Section: Discussionmentioning

confidence: 99%

Solitary fibrous tumour of the liver—report on metastasis and local recurrence of a malignant case and review of literature

Chen

Slater

2017

World J Surg Onc

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“…2 Although SFT was originally reported to be located within the pleura, 1 case studies from extrapleural sites of SFT have also been reported. [4][5][6][7][8][9] As SFT is an extremely rare tumor, its longterm clinical behavior is not known. This case may enlighten the mostly unknown clinical behavior of this tumor.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7][8][9] Rarely, it is found in the mediastinum, skin, meninges, orbit, upper respiratory tract, breast, thyroid, and peritoneum. 5 Solitary fibrous tumor exhibits a variable microscopic appearance, which necessitates immunohistochemistry to confirm the diagnosis.…”

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confidence: 99%

Giant Solitary Fibrous Tumor of Orbit

Tenekeci¹,

Sarı²,

Vayısoğlu³

et al. 2015

Journal of Craniofacial Surgery

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Solitary fibrous tumors (SFTs) have been reported in various locations in the body. Solitary fibrous tumors are extremely rare tumors, especially when located in the orbit. Diagnosis of SFT cannot be made based on histopathology only because it exhibits a variable microscopic appearance, and necessitates immunohistochemistry to confirm the diagnosis. A 51-year-old man was admitted to our clinic for the evaluation of a mass bulging in his left eye. Clinical examination revealed a painless mass extruding out of the orbital cavity with dimensions of 8 × 7 cm. Exenteration of the left eye including the upper and lower eyelid and reconstruction of the orbital cavity using a temporoparietal fascia flap and a temporal muscle flap was performed. SFT of orbital region is known as a slow growing and painless tumor. Based on previous studies, increased mitotic rate of the tumor gives the impression that the tumor has a malignant nature. Until now a small number or orbital SFTs were reported and none of them presented with a giant mass protruding out of the orbital cavity. We present a unique case of orbital SFT filling the whole orbital cavity and protruding outward as a giant mass. This case has been reported to expand our knowledge in this debated entity.

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“…Meyer et al describe HPC as a solitary tumor that tends to recur, and in some cases, may be malignant [7]. Our patient remained without recurrence, after the radical removal of the HPC 84 months ago.…”

Section: Discussionmentioning

confidence: 52%

Solitary Fibrous Tumour of the Lacrimal Gland with Apparent hemangiopericytoma – Like Characteristics: A Case Study

Lešták¹

2014

J Clin Exp Ophthalmol

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Hemangiopericytoma (HPC) is a rare tumor originating from the mesenchyme. We will describe the clinical presentations, radiological and operative findings, and pathological features of a patient with lacrimal gland HPC. The patient was a 26-year-old female who presented with swelling of the left upper eye lid progressing over the past 12 months. On ophthalmological examination, no visual impairment was detected, but induration of the left eye was found in the area of the lacrimal gland. Orbital magnetic resonance imaging showed tumorous mass, of size 20 × 8 × 22 mm affecting the lacrimal gland. The patient underwent an anterior orbitotomy, which removed the palpebral portion of the lacrimal gland. Histology did not clarify the diagnosis. Three months after surgery, the tumor size had increased. MRI showed progression of the findings. It was therefore decided to perform a lateral orbitotomy with radical extirpation of the tumor. The morphology of the tumor, including positivity of the immunohistochemical marker CD34, showed predominant characteristics of the HPC. The patient has been subject to a follow-up for the past 84 months and no signs of recurrence or metastases were observed during this period.

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Report of a case of solitary fibrous tumour of the orbit

Abstract: Solitary fibrous tumors, though uncommon, should be considered in the differential diagnosis of orbital expansive lesions. The key point to diagnosis is finding CD34 positivity in immunohistochemical examination. Such tumors have a tendency for recurrence, even after more than 5 years.

Cited by 8 publications

References 9 publications

Solitary fibrous tumour of the liver—report on metastasis and local recurrence of a malignant case and review of literature

Solitary fibrous tumour of the liver—report on metastasis and local recurrence of a malignant case and review of literature

Giant Solitary Fibrous Tumor of Orbit

Solitary Fibrous Tumour of the Lacrimal Gland with Apparent hemangiopericytoma – Like Characteristics: A Case Study

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