Essid Mohamed Ali, Bouzouita Abderrazak, Blel Ahlem, Saadi Ahmed
Department of Urology, Charles Nicolle University Hospital of Tunis, Tunisia.
Department of Pathology, Charles Nicolle University Hospital of Tunis, Tunisia.
Perm J. 2019;23. doi: 10.7812/TPP/18-236. Epub 2019 Jun 14.
A solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm that may occur in a wide range of sites, more commonly in the pleura. We report a well-documented case of an SFT with malignant histology arising in the inguinal region.
A 59-year-old man, with an unremarkable medical history, presented with a slow-growing painless mass in the left side of the inguinal region, which he had ignored for 3 years. On clinical examination, there was an indurated, irreducible, mobile, and painless mass in the left side of the inguinal area. Magnetic resonance imaging and computed tomography results revealed a 15-cm mass made up of soft tissue and with nonspecific radiologic aspect. The tumor was totally excised, and the results of the pathologic examination concluded it was an SFT.
The aim of our case report is to present a rare extrapleural localization of an SFT. Although its radiologic features are not specific, SFT should be considered in the differential diagnosis of inguinal masses.
孤立性纤维瘤(SFT)是一种罕见的间叶组织肿瘤,可发生于多种部位,更常见于胸膜。我们报告一例腹股沟区发生的具有恶性组织学特征的SFT病例,记录详实。
一名59岁男性,既往病史无特殊,左侧腹股沟区出现一个生长缓慢的无痛性肿块,他已忽视该肿块3年。临床检查发现,左侧腹股沟区有一个硬结、不能回纳、可活动且无痛的肿块。磁共振成像和计算机断层扫描结果显示,有一个15厘米的肿块,由软组织构成,影像学表现不具有特异性。肿瘤被完整切除,病理检查结果显示为SFT。
我们的病例报告旨在呈现SFT罕见的胸膜外定位。尽管其影像学特征不具有特异性,但在腹股沟肿块的鉴别诊断中应考虑SFT。