Bunajem Fatema, Al Taei Tareq, Mujbel Nawraa, Al Shaikh Ahmed, Al Mail Sarah
Radiology, Salmaniya Medical Complex, Manama, BHR.
Radiology, Salmaniya Medical Complex, Busaiteen, BHR.
Cureus. 2023 Oct 16;15(10):e47123. doi: 10.7759/cureus.47123. eCollection 2023 Oct.
A solitary fibrous tumor (SFT) is a rare spindle cell neoplasm in adults, usually found in the pleural and thoracic cavities. We report an interesting case of a malignant solitary fibrous tumor in a 64-year-old male who presented with a history of swelling in his right inguinal region that gradually increased in size during the past three years. Computed tomography (CT) and magnetic resonance imaging (MRI) scans of the abdomen and pelvis showed a rounded solid mass originating from the right inguinal canal suggestive of sarcoma. Elective excision of the mass was done under general anesthesia with histopathology confirming the diagnosis of high-grade spindle cell sarcoma in keeping with a malignant solitary fibrous tumor. Postoperatively, the patient had no complications and was discharged on postoperative day 4. The patient was then treated with radiotherapy. He remained free of recurrence for two years postoperatively.
孤立性纤维瘤（SFT）是成人中一种罕见的梭形细胞肿瘤，通常发生于胸膜和胸腔。我们报告一例有趣的病例，一名64岁男性患有恶性孤立性纤维瘤，其右腹股沟区有肿胀病史，在过去三年中逐渐增大。腹部和盆腔的计算机断层扫描（CT）和磁共振成像（MRI）扫描显示，一个圆形实性肿块起源于右腹股沟管，提示为肉瘤。在全身麻醉下对肿块进行了择期切除，组织病理学检查证实为高级别梭形细胞肉瘤，符合恶性孤立性纤维瘤的诊断。术后患者无并发症，术后第4天出院。随后患者接受了放疗。术后两年他未复发。
