A broad ligament solitary fibrous tumor with Doege–Potter syndrome

Chen, Sijing; Zheng, Ying; Chen, Lin; Yi, Qihua

doi:10.1097/md.0000000000012564

Cited by 10 publications

(18 citation statements)

References 34 publications

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“…Nine percent of SFTs occur in the female genital tract, and only 42 cases, including several in the retroperitoneum, have been reported so far [ 5 , 6 ]. Furthermore, only 11 cases of vulvar SFTs have been reported [ 7 ]. The management of vulvar SFTs is controversial: The prognosis depends on complete resection of both extrapleural and pleural SFTs [ 5 ], but surgery is difficult because of frequent intraoperative heavy bleeding, which occurs because SFTs in the pelvis are usually supplied with blood by multiple vessels, such as the branches of the inferior mesenteric artery or the internal iliac arteries [ 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

An abdominal-sacral approach with preoperative embolisation for vulvar solitary fibrous tumour: a case report

et al. 2021

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Background Solitary fibrous tumours (SFTs) in the female genital tract are uncommon. Resection of these tumours is controversial because it can cause life-threatening haemorrhage. We report a case of vulvar SFT that was excised in a combined abdominal-sacral approach after preoperative embolisation. Case presentation At another hospital, an inoperable intrapelvic tumour was diagnosed in a 34-year-old woman. Computed tomography and magnetic resonance imaging showed that the uterus, urinary bladder and rectum were compressed laterally by a pelvic tumour with a maximum diameter of 11 cm. This mass was hypervascular and had a well-defined border. Transperineal biopsy was performed, and immunostaining revealed that the mass was an SFT. The tumour was supplied by feeding vessels from the right iliac arteries. First, we embolised the feeding vessels. Second, we performed surgical resection in a combined abdominal-sacral approach; no blood transfusion was necessary, and no perioperative complications occurred. The final pathological diagnosis was SFT that was positive for CD34 and signal transducer and activator of transcription 6 according to immunohistochemical staining. Conclusion During a year of follow-up, the disease did not recur. Treatment of pelvic SFT should aim at complete resection through various approaches after careful measures are taken to prevent haemorrhage.

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Section: Discussionmentioning

confidence: 99%

An abdominal-sacral approach with preoperative embolisation for vulvar solitary fibrous tumour: a case report

et al. 2021

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“…Pathology was benign in 42 (51%) patients and malignant in 40 (49%) ( 5 ). SFTs originating in the pelvis have been reported to be more asymptomatic and more aggressive than SFTs originating in the pleura ( 12 ), and about 5–10% patients with SFT outside the pleura exhibit hypoglycemia ( 15 , 36 ). As shown in Table 2 , pelvic SFTs can be classified as bladder SFT, prostate SFT, seminal vesicle SFT, uterine cervix SFT, pelvic SFT, or peritoneum SFT.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter arterial embolization of malignant pelvic solitary fibrous tumor: case report and literature review

Yan¹,

Zheng²,

Wang³

et al. 2021

Transl Cancer Res TCR

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Pelvic malignant solitary fibrous tumor (SFT) is a relatively rare disease, and literature on radical resection with transcatheter arterial embolization of pelvic SFT is lacking. In this work, we report on a 55-year-old man with a presacral mass who was hospitalized at our department. Computed tomography and magnetic resonance imaging indicated pelvic space-occupying lesions that were 12 cm × 10 cm in size and pelvic lesions that were not clearly demarcated from the right posterior wall of the bladder and the right ureter. This result suggested severe secondary hydronephrosis of the right renal pelvis. The patient underwent transcatheter iliac arterial embolization. Radical tumor resection was performed, and the results of pathological examination confirmed the diagnosis of malignant pelvic SFT. There was no SFT recurrence in this patient at 1-year follow-up. Herein, we report on the treatment of a patient with malignant pelvic SFT, a rare condition, who underwent successful radical resection after transcatheter arterial embolization. Transcatheter arterial embolization can block the blood supply of the SFT as much as possible and improve the possibility of tumor resection. In the future, pelvic SFTs can be considered improving the resection rate by transcatheter arterial embolization before surgery.

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“…Nine percent of SFTs occur in the female genital tract, and only 42 cases, including several in the retroperitoneum, have been reported so far [5,6]. Furthermore, only 11 cases of vulvar SFTs have been reported [7]. The management of vulvar SFTs is controversial: The prognosis depends on complete resection of both extrapleural and pleural SFTs [5], but surgery is di cult because of frequent intraoperative heavy bleeding, which occurs because SFTs in the pelvis are usually supplied with blood by multiple vessels, such as the branches of the inferior mesenteric artery or the internal iliac arteries [8,9].…”

Section: Discussionmentioning

confidence: 99%

An Abdominal-sacral Approach With Preoperative Embolisation For Vulvar Solitary Fibrous Tumour: A Case Report

Takahashi

Kasei

Amano

et al. 2020

Preprint

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Background: Solitary fibrous tumours (SFTs) in the female genital tract are uncommon. Resection of these tumours is controversial because it can cause life-threatening haemorrhage. We report a case of vulvar SFT that was excised in a combined abdominal-sacral approach after preoperative embolisation.Case Presentation: At another hospital, an inoperable intrapelvic tumour was diagnosed in a 34-year-old woman. Computed tomography and magnetic resonance imaging showed that the uterus, urinary bladder and rectum were compressed laterally by a pelvic tumour with a maximum diameter of 11 cm. This mass was hypervascular and had a well-defined border. Transperineal biopsy was performed, and immunostaining revealed that the mass was an SFT. The tumour was supplied by feeding vessels from the right iliac arteries. First, we embolised the feeding vessels. Second, we performed surgical resection in a combined abdominal-sacral approach; no blood transfusion was necessary, and no perioperative complications occurred. The final pathological diagnosis was SFT that was positive for CD34 and signal transducer and activator of transcription 6 according to immunohistochemical staining.Conclusion: During a year of follow-up, the disease did not recur. Treatment of pelvic SFT should aim at complete resection through various approaches after careful measures are taken to prevent haemorrhage.

show abstract

A broad ligament solitary fibrous tumor with Doege–Potter syndrome

Cited by 10 publications

References 34 publications

An abdominal-sacral approach with preoperative embolisation for vulvar solitary fibrous tumour: a case report

An abdominal-sacral approach with preoperative embolisation for vulvar solitary fibrous tumour: a case report

Transcatheter arterial embolization of malignant pelvic solitary fibrous tumor: case report and literature review

An Abdominal-sacral Approach With Preoperative Embolisation For Vulvar Solitary Fibrous Tumour: A Case Report

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