Multidisciplinary treatment of giant presacral solitary fibrous tumour: a case report and literature review

Abstract

Solitary fibrous tumours (SFTs) usually occur at the pleura. Extrapleural sites, particularly giant extrapleural solitary fibromas, are more rarely observed in the clinic, and the clinical diagnosis and treatment of this disease is a focus of attention. Herein, the case of a 43-year-old male patient with giant presacral SFT successfully treated by open surgery, and with a final diagnosis confirmed by postoperative pathology and immunohistochemistry, is reported. The patient was followed-up regularly during 5 years after surgery, with no obvious surgical complications, and no tumour recurrence noted on pelvic magnetic resonance imaging. This case provides clinical information that may help in the diagnosis and treatment of complex SFT.

Diagnosis and management of an extremely rare solitary fibrous tumor in the retropubic space of Retzius: A case report

“…These tumors are usually slow-growing and asymptomatic, and nearly all cases are diagnosed at a late stage when they are already large, due to the mass effect they produce on adjacent organ [ 8 ]. Some of the described symptoms include abdominal pain, vomiting, anorexia, abdominal distension, post-prandial fullness, weight loss, and fatigue.…”

“…Considering these findings and the positive margins, adjuvant radiotherapy was recommended. Adjuvant therapy is not usually necessary for SFTs, but long-term follow-up is mandatory to monitor for recurrence [ 8 ].…”