Centeno Ricardo Silva, Pedroso Alessandra Augusta Gorgulho, Pereira Emilio Marcelo, Rassi Neto Aziz
Escola Paulista de Medicina, Universidade Federal de São Paulo, Brasil.
Arq Neuropsiquiatr. 2002 Jun;60(2-A):314-8.
The solitary fibrous tumor (SFT) is a rare mesenquimal neoplasm, found originally in association with the pleura. Recently, SFT was reported in others sites. The extension into adjacent structures is not uncommon. The meningeal involvement by SFT is rare and there has only twenty-six cases been reported previously in the literature. We report a case of a 25 years-old female patient with generalized tonic clonic seizures in the last six years. During the neurologic investigation, a tumor in the left occipital region of the brain was found. The patient underwent an occipital craniotomy with total resection of the tumor. The histopathological and immunohistochemical diagnosis was STF. After three years of follow-up, the patient remains stable, with a normal neurological exam. There is no sign of tumor recidive in the postoperative cranial tomography. We will briefly review the literature about STF.
孤立性纤维性肿瘤(SFT)是一种罕见的间叶性肿瘤,最初发现与胸膜有关。最近,SFT在其他部位也有报道。肿瘤延伸至相邻结构并不少见。SFT累及脑膜罕见,此前文献仅报道过26例。我们报告一例25岁女性患者,在过去六年中出现全身性强直阵挛发作。在神经系统检查过程中,发现脑部左枕叶有一个肿瘤。患者接受了枕下开颅手术并肿瘤全切。组织病理学和免疫组化诊断为SFT。经过三年随访,患者情况稳定,神经系统检查正常。术后头颅CT未显示肿瘤复发迹象。我们将简要回顾关于SFT的文献。