Solitary fibrous tumor of the liver: A case report and review of the literature

Xie, Gary; Zhu, Huanbing; Yun, Jimmy; Li, Baizhou; Yu, Yuan-Quan; Li, Jiangtao

doi:10.12998/wjcc.v10.i20.7097

Cited by 5 publications

(1 citation statement)

References 43 publications

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“…A solitary fibrous tumor (SFT) is histologically characterized as a mesenchymal tumor, probably fibroblastic in origin, located primarily in the pleura; however, it can be found in any other extrapleural region[ 1 - 3 ]. Extrapleural areas include the liver, peritoneum, kidney, and salivary glands[ 4 - 7 ]. SFT of the pancreas is rare, with only about 30 cases reported to date[ 1 - 3 , 6 - 35 ].…”

Section: Introductionmentioning

confidence: 99%

Imaging, pathology, and diagnosis of solitary fibrous tumor of the pancreas: A case report and review of literature

Wang,

Zhou,

et al. 2024

World J Clin Cases

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BACKGROUND A solitary fibrous tumor (SFT) is often located in the pleura, while SFT of the pancreas is extremely rare. Here, we report a case of SFT of the pancreas and discuss imaging, histopathology, and immunohistochemistry for accurate diagnosis and treatment. CASE SUMMARY A 54-year-old man presented to our hospital with pancreatic occupancy for over a month. There were no previous complaints of discomfort. His blood pressure was normal. Blood glucose, tumor markers, and enhanced computed tomography (CT) suggested a malignant tumor. Because the CT appearance of pancreatic cancer varies, we could not confirm the diagnosis; therefore, we performed endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB). Pathology and immunohistochemistry were consistent with SFT of the pancreas. The postoperative pathology and immunohistochemistry were consistent with the puncture results. The patient presented for a follow-up examination one month after discharge with no adverse effects. CONCLUSION Other diseases must be excluded in patients with a pancreatic mass that cannot be diagnosed. CT and pathological histology have diagnostic value for pancreatic tumors. Endoscopic puncture biopsy under ultrasound can help diagnose pancreatic masses that cannot be diagnosed preoperatively. Surgery is an effective treatment for SFT of the pancreas; however, long-term follow-up is strongly recommended because of the possibility of malignant transformation of the tumor.

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