Gupta Samir, Vaidya Advait A, Nagireddy Tejus V, Londhe Mangesh
Department of Surgical Oncology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, India.
Department of Pathology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune, India.
Indian J Otolaryngol Head Neck Surg. 2024 Apr;76(2):2026-2031. doi: 10.1007/s12070-023-04383-z. Epub 2023 Dec 7.
Solitary fibrous tumor (SFT) is a rare mesenchymal tumor with an indolent course but variable metastatic potential. Less than 50 cases of neck SFTs have been documented since 1991. We present a case report of rare presentations of SFT of nape of neck typifying the hypercellular variant of SFT (hemangiopericytoma) with challenges in treatment. Patient underwent excision and was subjected to adjuvant radiation. We concluded that SFT though a rare diagnosis should be considered while dealing with soft tissue tumors and multi-disciplinary pre-operative planning is must to avoid complications and recurrence. Surgical excision remains treatment of choice, but long follow-up is must.
孤立性纤维性肿瘤(SFT)是一种罕见的间叶性肿瘤,病程进展缓慢,但转移潜能各异。自1991年以来,颈部SFT的病例报道不足50例。我们报告一例罕见的颈部项部SFT病例,该病例为SFT的高细胞变异型(血管外皮细胞瘤),治疗过程中面临挑战。患者接受了手术切除并接受了辅助放疗。我们得出结论,虽然SFT是一种罕见的诊断,但在处理软组织肿瘤时应予以考虑,术前多学科规划对于避免并发症和复发是必不可少的。手术切除仍然是首选治疗方法,但必须进行长期随访。