Yan Xingjian, Zheng Chao, Wang Jin, Li Dawei, Lu Ji, He Liang, Wang Chunxi
Department of Urology, The First Hospital of Jilin University, Changchun, China.
Department of Neurology and Neuroscience Center, First Hospital of Jilin University, Changchun, China.
Transl Cancer Res. 2021 Nov;10(11):4979-4987. doi: 10.21037/tcr-21-887.
Pelvic malignant solitary fibrous tumor (SFT) is a relatively rare disease, and literature on radical resection with transcatheter arterial embolization of pelvic SFT is lacking. In this work, we report on a 55-year-old man with a presacral mass who was hospitalized at our department. Computed tomography and magnetic resonance imaging indicated pelvic space-occupying lesions that were 12 cm × 10 cm in size and pelvic lesions that were not clearly demarcated from the right posterior wall of the bladder and the right ureter. This result suggested severe secondary hydronephrosis of the right renal pelvis. The patient underwent transcatheter iliac arterial embolization. Radical tumor resection was performed, and the results of pathological examination confirmed the diagnosis of malignant pelvic SFT. There was no SFT recurrence in this patient at 1-year follow-up. Herein, we report on the treatment of a patient with malignant pelvic SFT, a rare condition, who underwent successful radical resection after transcatheter arterial embolization. Transcatheter arterial embolization can block the blood supply of the SFT as much as possible and improve the possibility of tumor resection. In the future, pelvic SFTs can be considered improving the resection rate by transcatheter arterial embolization before surgery.
盆腔恶性孤立性纤维瘤（SFT）是一种相对罕见的疾病，目前缺乏关于盆腔SFT经导管动脉栓塞术联合根治性切除术的文献报道。在本研究中，我们报告了一名55岁的骶前肿物男性患者，该患者在我院住院治疗。计算机断层扫描和磁共振成像显示盆腔占位性病变，大小为12 cm×10 cm，盆腔病变与膀胱右后壁和右侧输尿管分界不清。这一结果提示右肾盂严重继发性肾积水。该患者接受了经导管髂动脉栓塞术。随后进行了肿瘤根治性切除术，病理检查结果证实为盆腔恶性SFT。在1年的随访中，该患者未出现SFT复发。在此，我们报告了一例盆腔恶性SFT患者的治疗情况，这是一种罕见疾病，该患者在经导管动脉栓塞术后成功接受了根治性切除术。经导管动脉栓塞术可尽可能阻断SFT的血供，提高肿瘤切除的可能性。未来，对于盆腔SFT，可考虑在手术前通过经导管动脉栓塞术提高切除率。
