Solitary Fibrous Tumor of Inguinal Region: Report of a Case
Yıl 2025,
Cilt: 6 Sayı: 1, 67 - 69, 15.03.2025
Mehmet Sait Özsoy
,
Doğaç Demir
,
Leyla Zeynep Tigrel
,
Selman Cihangir
,
Yusuf Melih Taş
,
Özgür Ekinci
,
Orhan Alimoğlu
Öz
Solitary fibrous tumor (SFT), previously known as hemangiopericytoma, is a fibroblastic mesenchymal neoplasm and constitutes a very small proportion of soft tissue sarcomas. It is usually recognised as a painless mass. The site of localisation is mostly the thorax. However, it can also be seen in the central nervous system, peritoneal cavity and retroperitoneal region. Inguinal region is a very rare site for SFT. In imaging computed tomography and magnetic resonance imaging are the diagnostic modalities of choice. Fine needle biopsy after radiological imaging helps histopathological diagnosis. It is characterised by STAT6/CD34 positivity immunohistochemically. En-block excision of the lesion is the main treatment due to the potential for recurrence and metastasis. Inguinal SFTs are rare lesions and should be included in the differential diagnosis of inguinal masses. In this study, we report a 46-year-old female patient with an inguinal SFT lesion who underwent total excision.
Etik Beyan
Informed consent was obtained from the patient and legal representative for the collection and publication of the patient's clinical information.
Kaynakça
-
Thway K, Ng W, Noujaim J, Jones RL, Fisher C. The current status of solitary fibrous tumor: Diagnostic features, variants, and genetics. Int J Surg Pathol. 2016;24(4):281–92.
-
van Houdt WJ, Westerveld CM, Vrijenhoek JE, et al. Prognosis of solitary fibrous tumors: a multicenter study. Ann Surg Oncol. 2013;20(13):4090-5.
-
Miettinen M. Solitary fibrous tumor, hemangiopericytoma, and related tumors. Miettinen M, editor. Modern Soft Tissue Pathology: Tumors and Non-Neoplastic Conditions. New York: Cambridge University Press; 2010. p. 335.
-
Geboes F, Van den Eynde J, Malfait TLA, et al. Occult solitary fibrous tumour of the pleura presenting as recurrent spontaneous pneumothorax. BMJ Case Rep. 2024;17(3):e257161.
-
Kazazian K, Demicco EG, de Perrot M, Strauss D, Swallow CJ. Toward Better. Understanding and Management of Solitary Fibrous Tumor. Surg Oncol Clin N Am. 2022; 31(3):459-83.
-
Gold JS, Antonescu CR, Hajdu C, et al. Clinicopathologic correlates of solitary fibrous tumors. Cancer. 2002;94(4):1057–68.
-
Erdag G, Qureshi HS, Patterson JW, Wick MR. Solitary fibrous tumors of the skin: A clinicopathologic study of 10 cases and review of the literature. J Cutan Pathol. 2007;34(11):844–50.
-
Daigeler A, Lehnhardt M, Langer S, et al. Clinicopathological findings in a case series of extrathoracic solitary fibrous tumors of soft tissues. BMC Surg. 2006; 6:10.
-
Di Bartolomeo M, Negrello S, Pellacani A, et al. A Case Report of a Solitary Fibrous Tumor of the Maxillary Sinus. Reports. 2021; 4(4):33.
-
Wignall OJ, Moskovic EC, Thway K, Thomas JM. Solitary fibrous tumors of the soft tissues: review of the imaging and clinical features with histopathologic correlation. AJR Am J Roentgenol. 2010;195(1): W55-62.
-
von Mehren M, Kane JM, Agulnik M, et al. Soft Tissue Sarcoma, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2022; 20(7):815-33.
İnguinal Bölgenin Soliter Fibröz Tümörü: Olgu Sunumu
Yıl 2025,
Cilt: 6 Sayı: 1, 67 - 69, 15.03.2025
Mehmet Sait Özsoy
,
Doğaç Demir
,
Leyla Zeynep Tigrel
,
Selman Cihangir
,
Yusuf Melih Taş
,
Özgür Ekinci
,
Orhan Alimoğlu
Öz
Daha önce hemanjioperisitom olarak da bilinen soliter fibröz tümör (SFT), fibroblastik mezenkimal bir neoplazmdır ve yumuşak doku sarkomlarının çok küçük bir bölümünü oluşturur. Genellikle ağrısız bir kitle olarak fark edilir. Yerleşim yeri çoğunlukla toraks bölgesidir. Ancak santral sinir sistemi, periton boşluğu ve retroperitoneal bölgede de görülebilir. İnguinal bölge SFT için çok nadir bir bölgedir. Görüntülemede bilgisayarlı tomografi ve manyetik rezonans görüntüleme tercih edilen tanı yöntemleridir. Radyolojik görüntüleme sonrası ince iğne biyopsisi histopatolojik tanıya yardımcı olur. İmmünohistokimyasal olarak STAT6/CD34 pozitifliği ile karakterizedir. Rekürrens ve metastaz potansiyeli nedeniyle lezyonun blok eksizyonu ana tedavidir. İnguinal SFT'ler nadir görülen lezyonlardır ve inguinal kitlelerin ayırıcı tanısında yer almalıdır. Bu çalışmada, inguinal SFT lezyonu olan ve total eksizyon uygulanan 46 yaşında bir kadın hasta sunuldu.
Kaynakça
-
Thway K, Ng W, Noujaim J, Jones RL, Fisher C. The current status of solitary fibrous tumor: Diagnostic features, variants, and genetics. Int J Surg Pathol. 2016;24(4):281–92.
-
van Houdt WJ, Westerveld CM, Vrijenhoek JE, et al. Prognosis of solitary fibrous tumors: a multicenter study. Ann Surg Oncol. 2013;20(13):4090-5.
-
Miettinen M. Solitary fibrous tumor, hemangiopericytoma, and related tumors. Miettinen M, editor. Modern Soft Tissue Pathology: Tumors and Non-Neoplastic Conditions. New York: Cambridge University Press; 2010. p. 335.
-
Geboes F, Van den Eynde J, Malfait TLA, et al. Occult solitary fibrous tumour of the pleura presenting as recurrent spontaneous pneumothorax. BMJ Case Rep. 2024;17(3):e257161.
-
Kazazian K, Demicco EG, de Perrot M, Strauss D, Swallow CJ. Toward Better. Understanding and Management of Solitary Fibrous Tumor. Surg Oncol Clin N Am. 2022; 31(3):459-83.
-
Gold JS, Antonescu CR, Hajdu C, et al. Clinicopathologic correlates of solitary fibrous tumors. Cancer. 2002;94(4):1057–68.
-
Erdag G, Qureshi HS, Patterson JW, Wick MR. Solitary fibrous tumors of the skin: A clinicopathologic study of 10 cases and review of the literature. J Cutan Pathol. 2007;34(11):844–50.
-
Daigeler A, Lehnhardt M, Langer S, et al. Clinicopathological findings in a case series of extrathoracic solitary fibrous tumors of soft tissues. BMC Surg. 2006; 6:10.
-
Di Bartolomeo M, Negrello S, Pellacani A, et al. A Case Report of a Solitary Fibrous Tumor of the Maxillary Sinus. Reports. 2021; 4(4):33.
-
Wignall OJ, Moskovic EC, Thway K, Thomas JM. Solitary fibrous tumors of the soft tissues: review of the imaging and clinical features with histopathologic correlation. AJR Am J Roentgenol. 2010;195(1): W55-62.
-
von Mehren M, Kane JM, Agulnik M, et al. Soft Tissue Sarcoma, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2022; 20(7):815-33.