Baba Takashi, Furuta Kosuke, Sasaki Shin-Ichi, Kuwamoto Satoshi, Suyama Hisashi, Miyazaki Dai
Division of Ophthalmology and Visual Science, Faculty of Medicine, Tottori University, Japan.
Department of Pathology, Faculty of Medicine, Tottori University, Japan.
Am J Ophthalmol Case Rep. 2025 Jun 27;39:102366. doi: 10.1016/j.ajoc.2025.102366. eCollection 2025 Sep.
Extraocular extension of a solitary fibrous tumor (SFT) in the choroid is rare, and few reports describe cases in which the eye is preserved and monitored postoperatively. This report details the management of an SFT with extraocular invasion complicated by postoperative rhegmatogenous retinal detachment (RRD).
A 57-year-old woman presented with painless eyelid swelling. Imaging revealed a choroidal mass infiltrating the extraocular tissues. Partial surgical excision was performed after the patient refused enucleation without a tissue diagnosis. Histopathological and immunohistochemical analyses confirmed the diagnosis of SFT. Postoperatively, the patient developed RRD due to acute posterior vitreous detachment. Pars plana vitrectomy was successfully performed to address the RRD. Despite residual tumor within the eye and extraocularly, no tumor progression was observed during six months of follow-up. Visual function remained stable.
CONCLUSIONS/IMPORTANCE: This case highlights the clinical challenges posed by choroidal SFTs with extraocular extension. This case underscores the importance of vigilant postoperative monitoring for complications such as RRD. Regular follow-up is crucial to assess tumor stability, manage potential complications, and maintain visual function in patients with residual disease.
脉络膜孤立性纤维瘤（SFT）眼外扩展罕见，很少有报告描述术后保留眼球并进行监测的病例。本报告详细介绍了1例合并术后孔源性视网膜脱离（RRD）的眼外侵犯性SFT的治疗情况。
一名57岁女性因无痛性眼睑肿胀就诊。影像学检查显示脉络膜肿物浸润眼外组织。在患者拒绝在未进行组织诊断的情况下眼球摘除后，进行了部分手术切除。组织病理学和免疫组化分析确诊为SFT。术后，患者因急性玻璃体后脱离发生RRD。成功进行了玻璃体切除术以治疗RRD。尽管眼内和眼外仍有残留肿瘤，但在6个月的随访期间未观察到肿瘤进展。视觉功能保持稳定。
结论/意义：该病例凸显了脉络膜SFT眼外扩展所带来的临床挑战。该病例强调了术后密切监测RRD等并发症的重要性。定期随访对于评估肿瘤稳定性、处理潜在并发症以及维持残留疾病患者的视觉功能至关重要。
