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Giotakis E, Zarachi A, Derka S, Pavlidis G, Lianou A, Tsoumani V, Liontos A, Tsiambas E, Ragos V. Solitary Fibrous Tumor of the Masticator Space with Unusual Extension: a Case Report. Maedica (Bucur) 2024; 19:154-159. [PMID: 38736934 PMCID: PMC11079748 DOI: 10.26574/maedica.2024.19.11.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/14/2024]
Abstract
Background: We present the case of a patient with solitary fibrous tumor of the masticator space with unusual extension. Case presentation: A 43-year-old woman presented with a painless mass with intraoral extension on the right cheek. The B-scan sonograph and magnetic resonance imaging revealed the extension of the tumor. The biopsy performed under local anesthesia raised the suspicion of a solitary fibrous tumor. Tumor excision included a preoperative tumor embolization. The surgical removal of the tumor included a partial parotidectomy on the right side, insertion of masseteric and temporalis muscle, resection of the middle part of the zygomatic bone and stabilization of the bone with a plate, mobilization of the tumor from the maxillary sinus and the pterygopalatine fossa through an endoscopic approach and an approach via partial resection of the anterior wall of the maxillary sinus after identifying and sparing the infraorbital nerve. Ôhe histological findings confirmed the diagnosis of solitary fibrous tumor. The patient's treatment completed with radiation therapy, and 2.5 years later, there was recurrence in the right temporal area. Conclusion:To our knowledge, this is the second reported case of solitary fibrous tumor arising in the masticator space and the only case with extension intraorally and in the paranasal sinuses. Tumor embolization and complete surgical excision are the most frequently recommended treatments.
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Affiliation(s)
- Evangelos Giotakis
- 1st ENT University Clinic, National and Kapodistrian University of Athens, Greece
| | - Athina Zarachi
- Department of Otorhinolaryngology, Head and Neck Surgery, School of Health Sciences, University Hospital of Ioannina, University of Ioannina, Ioannina, Greece
| | | | - Georgios Pavlidis
- Endovascular Neurosurgeon, Director of International Neuroradiology department, Euroclinic Hospital, Athens, Greece
| | - Aikaterini Lianou
- Department of Otorhinolaryngology, Head and Neck Surgery, School of Health Sciences, University Hospital of Ioannina, University of Ioannina, Ioannina, Greece
| | - Victoria Tsoumani
- Department of Otorhinolaryngology, Head and Neck Surgery, School of Health Sciences, University Hospital of Ioannina, University of Ioannina, Ioannina, Greece
| | - Angelos Liontos
- Department of Pathology, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | | | - Vasileios Ragos
- Department of Maxillofacial Surgery, Medical School, University of Ioannina, Ioannina, Greece
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García-López-Chicharro A, Pampín-Martínez MM, López-Martínez C, Aragón-Niño Í, Cebrián-Carretero JL. Buccal cheek mucosa solitary fibrous tumor. Case report. J Clin Exp Dent 2023; 15:e1064-e1067. [PMID: 38186920 PMCID: PMC10767730 DOI: 10.4317/jced.61157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 11/14/2023] [Indexed: 01/09/2024] Open
Abstract
Solitary fibrous tumor (STF) is a mesenchymal tumor that mainly appears in the pleura. Its presence in the oral cavity is very uncommon, being the buccal mucosa the most frequent location. Imaging cannot distinguish this entity between other types of tumors, being histological and immunohistochemical studies essential for its diagnosis. Immunohistochemical stains typically show positive results for CD34, Bcl2, and CD99. Surgical removal with wide margins is the gold standard treatment, requiring a close follow up due to recurrence risk. We present a case report of a solitary fibrous tumor located in the buccal cheek mucosa and the surgical approach. Key words:Solitary fibrous tumor, Buccal mucosa, Intraoral, Immunohistochemical markers.
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Affiliation(s)
| | | | - Clara López-Martínez
- Oral and Maxillofacial Surgery Department. Hospital Universitario La Paz, Madrid, España
| | - Íñigo Aragón-Niño
- Oral and Maxillofacial Surgery Department. Hospital Universitario La Paz, Madrid, España
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Choi JH, Lee SH, Hwang JH, Kim KS, Lee SY. Solitary fibrous tumor in the temporalis muscle: a case report and literature review. Arch Craniofac Surg 2023; 24:230-235. [PMID: 37919910 PMCID: PMC10622951 DOI: 10.7181/acfs.2023.00199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 04/25/2023] [Accepted: 06/20/2023] [Indexed: 11/04/2023] Open
Abstract
Solitary fibrous tumor (SFT) is an infrequently occurring neoplasm most commonly observed in the pleura, but it can develop in the head and neck region in occasional cases. However, no reports have described SFT in the temporalis muscle. Herein, we present the first known case of SFT in the temporalis muscle. A 47-year-old man complained of a painless palpable mass on his right temple. Facial enhanced computed tomography identified a 4.0× 2.9× 1.4 cm mass presenting as a vascular tumor in the right temporalis muscle under the zygomatic arch. The mass was excised from the right temporalis muscle under general anesthesia. A histopathologic examination revealed that the mass was an SFT. No complications occurred after surgery, including functional disability or sensory loss. The patient was followed up for 3 months without complications. Although SFT in extrapulmonary regions is rare, it should be considered in the differential diagnosis of masses that occur in the temporal area.
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Affiliation(s)
- Jun Ho Choi
- Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea
| | - Soo Hyuk Lee
- Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea
| | - Jae Ha Hwang
- Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea
| | - Kwang Seog Kim
- Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea
| | - Sam Yong Lee
- Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea
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Mohd Fauzi NA, Ibrahim NI, Wan Abdul Rahman WF, Tuan Sharif SE, Abu Bakar MN, Ramli RR. A rare case of sinonasal solitary fibrous tumour in a patient with concurrent papillary thyroid carcinoma: A case report. Ann Med Surg (Lond) 2021; 72:103032. [PMID: 34849218 PMCID: PMC8609029 DOI: 10.1016/j.amsu.2021.103032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 11/05/2021] [Accepted: 11/09/2021] [Indexed: 01/17/2023] Open
Abstract
Introduction and importance A solitary fibrous tumour (SFT) is a rare neoplasm that commonly arises in the pleura and can occur in other extrathoracic sites. Extrapleural SFT, particularly in the sinonasal cavity, is extremely rare. There are no definite diagnostic criteria for sinonasal SFT as it is rare. Histologic analysis with immunohistochemistry plays an important role in diagnosing SFT. Case presentation We report herein a case of SFT of the sinonasal cavity, which later spread to the oral cavity in a 67-year-old male with underlying papillary thyroid carcinoma (PTC) stage IV. He complained of recurrent epistaxis from a mass in his left nasal cavity for two weeks. The mass grew bigger, and spread to the oral cavity, causing dysphagia and upper airway obstruction. Tracheostomy was done under local anaesthesia and a biopsy of the mass was taken to rule out metastasis from the PTC. However, histopathological examination revealed a mesenchymal tumour of fibroblastic type, consistent with an SFT. He was planned for surgical resection of the tumour. However, he refused the operation and was lost to follow-up. Clinical discussion We describe the clinical presentation of this rare tumour of the sinonasal and oral cavity, including upper airway obstruction, and the importance of immunohistochemical markers such as CD34 and BCL-2 in diagnosing SFT. Complete resection of the tumour is the definitive treatment for SFT. Conclusion SFT of the sinonasal and oral cavity is extremely rare. Upper airway obstruction may occur due to the location of the tumour in the airway region. Immunohistochemistry is crucial to distinguish this tumour from other mesenchymal tumours. Solitary fibrous tumour (SFT) in the nasal cavity and paranasal sinus is extremely rare. In our case, the tumour had spread to the oral cavity, causing upper airway obstruction. Urgent trachestomy is needed in view of upper airway obstruction due the massive tumour in the upper airway. Our patient also had double pathology, which was SFT of the sinonasal cavity with underlying papillary thyroid carcinoma (PTC) stage IV. Thus, we had to rule out metastasis from PTC to the sinonasal cavity. Immunohistochemical studies are the most sensitive and specific method for diagnosing an SFT. Among the most sensitive first-line markers are CD34, BCL-2 and STAT6.
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Affiliation(s)
- Nurul Anis Mohd Fauzi
- Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.,Hospital Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia
| | - Noor Idayu Ibrahim
- Hospital Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.,Department of Pathology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia
| | - Wan Faiziah Wan Abdul Rahman
- Hospital Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.,Department of Pathology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia
| | - Sharifah Emilia Tuan Sharif
- Hospital Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.,Department of Pathology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia
| | - Muhammad Nasri Abu Bakar
- Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Sultan Ismail Petra, KM 6, Jalan Kuala Krai - Gua Musang, 18000, Kubang Kerian, Kelantan, Malaysia
| | - Ramiza Ramza Ramli
- Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.,Hospital Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia
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Tateyama K, Hamada M, Kawano T, Kusaba T, Daa T, Suzuki M. Solitary fibrous tumor of the middle ear: Immunoexpression of NAB2-STAT6 fusion gene. Otolaryngology Case Reports 2021. [DOI: 10.1016/j.xocr.2021.100345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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