Ascione Raffaele, Crocetto Felice, Ponsiglione Andrea, Pandolfo Savio Domenico, Gencarelli Annarita, Insabato Luigi, Imbriaco Massimo, Imbimbo Ciro
Department of Advanced Biomedical Science, University "Federico II", Naples, Italy.
Department of Neurosciences, Human Reproduction and Odontostomatology, University "Federico II", Naples, Italy.
Res Rep Urol. 2020 Dec 29;12:687-690. doi: 10.2147/RRU.S284777. eCollection 2020.
Solitary fibrous tumors (SFTs) are mesenchymal neoplasms of fibroblastic origin, even if commonly seen in the pleura, they can occur anywhere in the body. SFT presents as a slow growing, often asymptomatic mass, generally affecting middle-aged adults regardless of the sex. We report a rare case of an 18-year-old man referred to our institution to perform computed tomography (CT) and magnetic resonance imaging (MRI), to investigate a pelvic mass incidentally discovered at abdominal ultrasound examination. A well circumscribed, heterogenous and hypervascular lesion was described at imaging, with absence of calcifications, hemorrhage, necrosis nor cystic degeneration. The mass removal was performed via the Da Vinci-assisted robotic surgery. Histopathological evaluation confirmed the diagnosis of SFT. CT and MRI can aid the identification of SFT, providing useful information which needs to be supported by histopathological analysis.
孤立性纤维瘤（SFTs）是起源于成纤维细胞的间叶性肿瘤，即使常见于胸膜，但也可发生于身体的任何部位。SFT表现为生长缓慢、通常无症状的肿块，一般影响中年成年人，且无性别差异。我们报告一例罕见病例，一名18岁男性因腹部超声检查偶然发现盆腔肿块，转诊至我院进行计算机断层扫描（CT）和磁共振成像（MRI）检查。影像学检查显示为边界清晰、不均匀且血供丰富的病变，无钙化、出血、坏死及囊性变。通过达芬奇辅助机器人手术切除了肿块。组织病理学评估确诊为SFT。CT和MRI有助于SFT的识别，提供有用信息，但需要组织病理学分析予以支持。
