scholarly journals Transtemporal Suprajugular Approach with Neck Dissection for Jugular Foramen Tumor Resection: Operative Video

2020 ◽  
Author(s):  
Christina E. Sarris ◽  
Shawn M. Stevens ◽  
Kaith K. Almefty
Keyword(s):  
Neck Dissection ◽  
Solitary Fibrous Tumor ◽  
Initial Period ◽  
Tumor Resection ◽  
Jugular Foramen ◽  
World Health ◽  
Cervical Region ◽  
Retropharyngeal Space ◽  
Radiographic Findings ◽  
Fibrous Tumor

AbstractThis video demonstrates the transmastoid suprajugular approach with neck dissection to a solitary fibrous tumor involving the jugular foramen and upper cervical region. This patient was a 39-year-old man who presented with dysphagia and cranial nerve (CN) XI and CN XII palsies. Imaging revealed a large homogenously enhancing lesion involving the jugular foramen and extending into the retropharyngeal space (Fig. 1). Radiographic findings supported a diagnosis of jugular foramen schwannoma. After an initial period of observation, the tumor demonstrated significant growth, and the patient agreed to proceed with surgery. The suprajugular approach allowed for exposure and resection of the tumor without mobilization of the facial nerve. The patient had an excellent clinical outcome with House–Brackmann grade-1 facial function, safely tolerated a regular diet, had intact CN XI function, and had a stable CN XII palsy (Fig. 2). Pathology findings identified the tumor as a hemangiopericytoma World Health Organization grade 1 (solitary fibrous tumor).The link to the video can be found at: https://youtu.be/C4sPyHcLMA0.

scholarly journals Anterior mediastinal solitary fibrous tumor resection by da Vinci ® Surgical System in obese patient

2017 ◽  
Vol 38 ◽  
pp. 163-165
Author(s):  
Dario Amore ◽  
Marco Rispoli ◽  
Marcellino Cicalese ◽  
Ilaria De Rosa ◽  
Giuseppe Rossi ◽  
...  
Keyword(s):  
Obese Patient ◽  
Solitary Fibrous Tumor ◽  
Da Vinci ◽  
Tumor Resection ◽  
Fibrous Tumor ◽  
Surgical System

scholarly journals Bulky cardiac metastasis of intracranial solitary fibrous tumor/hemangiopericytoma: Delayed metastasis after cranial tumor resection

2019 ◽  
Vol 14 (10) ◽  
pp. 1175-1180 ◽  
Author(s):  
Sayaka Hashida ◽  
Hajime Yokota ◽  
Yu Oyama ◽  
Makio Kawakami ◽  
Satoshi Murakami ◽  
...  
Keyword(s):  
Solitary Fibrous Tumor ◽  
Tumor Resection ◽  
Cardiac Metastasis ◽  
Fibrous Tumor

scholarly journals Solitary fibrous tumor of the pleura with Doege-Potter syndrome.

2021 ◽  
Vol 2021 ◽  
Author(s):  
Sara Waguaf ◽  
Souheil Boubia ◽  
Najat Id El Haj ◽  
Abdellah Fatene ◽  
Mohamed Ridai
Keyword(s):  
Solitary Fibrous Tumor ◽  
Tumor Resection ◽  
Curative Treatment ◽  
Rare Tumor ◽  
Complete Tumor Resection ◽  
Fibrous Tumor ◽  
Complete Tumor

Solitary fibrous tumor of pleura (SFTP) is a rare tumor. Complete tumor resection is the curative treatment and the key to preventing recurrence. We present here the case of a 65-year-old female diagnosed with a Doege-Potter syndrome who underwent resection of pleural solitary fibrous tumor.

scholarly journals Pediatric sellar solitary fibrous tumor/ hemangiopericytoma: A rare case report and review of the literature

2020 ◽  
Vol 11 ◽  
pp. 238
Author(s):  
Hammad Ghanchi ◽  
Tye Patchana ◽  
Eisha Christian ◽  
Chao Li ◽  
Mark Calayag
Keyword(s):  
Solitary Fibrous Tumor ◽  
Vision Loss ◽  
Adult Population ◽  
Tumor Resection ◽  
The Body ◽  
Subtotal Resection ◽  
Adjuvant Radiation ◽  
Sellar Region ◽  
First Case ◽  
Fibrous Tumor

Background: Solitary fibrous tumor (SFT)/hemangiopericytoma (HPC) is a rare tumor which originates from the walls of capillaries and has historically been thought to be able to occur anywhere in the body that blood vessels are found. It is rarely found in the sellar region. Case Description: InS this report, we present the first case of this tumor occurring in the sellar region of a pediatric patient. This 12-year-old male presented with progressive vision loss which prompted surgical resection after a sellar lesion was discovered on imaging. The initial transsphenoidal approach resulted in subtotal resection and the patient experienced reoccurrence within 3 months. He underwent an orbitozygomatic craniotomy to achieve gross total tumor resection. Conclusion: We conducted a literature review of intracranial SFT/HPC in the pediatric population and found it to be an extremely rare occurrence, with <30 cases reported. The incidence of SFT/HPC occurring in the sellar region for any age group was also found to be a rare entity. Treatment recommendations for this tumor are also scarce, based on retrospective chart reviews from the adult population. The role for adjuvant radiation has mixed results.

Solitary fibrous tumor of the pleura as a rare cause of severe hypoglycemia: Doege-Potter syndrome

2020 ◽  
Vol 99 (2) ◽  
pp. 95-98
Keyword(s):  
Case Report ◽  
Growth Factor ◽  
Solitary Fibrous Tumor ◽  
Tumor Resection ◽  
Insulin Like Growth Factor ◽  
En Bloc ◽  
Solitary Fibrous Tumors ◽  
Factor Ii ◽  
Fibrous Tumor ◽  
Recurrent Hypoglycemia

Introduction: Doege-Potter syndrome is a rare syndrome characterized by hypo-insulinemic hypoglycemia. It is caused by excessive ectopic secretion of insulin-like growth factor II from a solitary fibrous tumors of intrapleural or extrapleural origin. Laboratory tests reveal low levels of C-peptide and insulin, on the contrary insulin-like growth factor II level is elevated, which is characteristic for Doege-Potter syndrome. Majority of solitary fibrous tumors present no symptomatology, recurrent hypoglycemia is relatively rare, but it may be the only clinical manifestation. The therapy is surgical, consisting of radical en-bloc tumor resection. Case report: Authors present a case report of a patient with recurrent hypoglycemia caused solely by solitary fibrous tumor. Hypoglycemia resolved immediately after surgical resection and there were no recurrences. Conclusion: Doege-Potter syndrome should be considered as the differential diagnosis in a patient with suspicion on thoracic malignancy if accompanied by features suggestive of hypoglycemia. Prolonged follow up is strongly advised because of the risk of disease recurrence, even in patients with benign solitary fibrous tumors of the pleura (SFTP).

scholarly journals The many faces of solitary fibrous tumor; diversity of histological features, differential diagnosis and role of molecular studies and surrogate markers in avoiding misdiagnosis and predicting the behavior

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Muhammad Usman Tariq ◽  
Nasir Ud Din ◽  
Jamshid Abdul-Ghafar ◽  
Yong-Koo Park
Keyword(s):  
Soft Tissue ◽  
Solitary Fibrous Tumor ◽  
Gene Fusion ◽  
Surrogate Marker ◽  
Soft Tissue Neoplasms ◽  
World Health ◽  
Main Body ◽  
Nerve Sheath Tumor ◽  
Histological Features ◽  
Fibrous Tumor

Abstract Background Solitary Fibrous Tumor (SFT) is a distinct soft tissue neoplasm associated with NAB2-STAT6 gene fusion. It can involve a number of anatomic sites and exhibits a wide spectrum of histological features. Main body Apart from diversity in morphological features seen even in conventional SFT, two histologic variants (fat-forming and giant cell-rich) are also recognized. In addition, a malignant form and dedifferentiation are well recognized. Owing to diverse histological features and involvement of diverse anatomic locations, SFT can mimic other soft tissue neoplasms of different lineages including schwannoma, spindle cell lipoma, dermatofibrosarcoma protuberans, liposarcoma, gastrointestinal stromal tumor (GIST), malignant peripheral nerve sheath tumor (MPNST), and synovial sarcoma. SFT is classified as an intermediate (rarely metastasizing) tumor according to World Health Organization Classification of Tumors of Soft tissue and Bone, 5th edition. The management and prognosis of SFT differs from its malignant mimics and correct diagnosis is therefore important. Although SFT expresses a distinct immunohistochemical (IHC) profile, the classic histomorphological and IHC profile is not seen in all cases and diagnosis can be challenging. NAB2-STAT6 gene fusion has recently emerged as a sensitive and specific molecular marker and its IHC surrogate marker signal transducer and activator of transcription 6 (STAT6) has also shown significant sensitivity and specificity. However, few recent studies have reported STAT6 expression in other soft tissue neoplasms. Conclusion This review will focus on describing the diversity of histological features of SFT, differential diagnoses and discussing the features helpful in distinguishing SFT from its histological mimics.

scholarly journals Intracranial solitary fibrous tumor/hemangiopericytoma – A case series

2020 ◽  
Vol 11 ◽  
pp. 414
Author(s):  
Chi-Man Yip ◽  
Shu-Shong Hsu ◽  
Wei-Chuan Liao ◽  
Szu-Hao Liu ◽  
Yung-Shang Lin ◽  
...  
Keyword(s):  
Solitary Fibrous Tumor ◽  
Adjuvant Radiotherapy ◽  
Tumor Resection ◽  
Case Series ◽  
Extent Of Resection ◽  
Treatment Modalities ◽  
Total Resection ◽  
Initial Surgery ◽  
Fibrous Tumor

Background: Intracranial solitary fibrous tumor/hemangiopericytoma (HPC) is a rare and aggressive tumor. We conducted this retrospective study to investigate the outcome of patients after treatment, the efficacy of postoperative adjuvant radiotherapy, and the factors not conducive to total resection. Methods: We conducted a retrospective review of the medical records of patients harboring fresh intracranial solitary fibrous tumor/HPC treated from January 2009 to December 2019 in our hospital. We reviewed their clinical presentations, radiologic appearances, tumor size and location, extent of resection, estimate intraoperative blood loss, treatment modalities and results, and duration of follow-up. Results: There were seven consecutive patients (three males and four females). The ages of the patients at the time of diagnosis ranged from 35 to 77 years (mean: 52.86 years). Five patients (71.43%) got tumor bigger than 5 cm in dimension and only 1 patient (14.29%) underwent gross total tumor resection in the first operation without complication. Five patients (71.43%) underwent postoperative adjuvant radiotherapy. Follow-up period ranged from 4.24 to 123.55 months and the median follow-up period was 91.36 months. Three patients had favorable outcome with Glasgow Outcome Scale (GOS) equal to 4; four patients had unfavorable outcome with GOS equal to 2 or 3. No mortality was happened. Conclusion: Gross total tumor resection in the initial surgery is very important to achieve a better outcome. Massive intraoperative bleeding and venous sinus or major vessels adjoining are factors not conducive to total resection. Radiotherapy can be administered as adjuvant therapy for cases showing an aggressive phenotype or not treated with gross total resection.

scholarly journals Transsphincteric tumor resection in case of a pararectal solitary fibrous tumor

2016 ◽  
Vol 19 ◽  
pp. 159-162
Author(s):  
Achim Troja ◽  
Nader El-Sourani ◽  
Dalibor Antolovic ◽  
Hans Rudolf Raab
Keyword(s):  
Solitary Fibrous Tumor ◽  
Tumor Resection ◽  
Fibrous Tumor

Extensive solitary fibrous tumor of the retropharyngeal space

Head & Neck ◽  
2006 ◽  
Vol 28 (3) ◽  
pp. 270-274 ◽  
Author(s):  
Augusto P. Casani ◽  
Manuela Marchetti ◽  
Iacopo Dallan ◽  
Eugenio Ciancia ◽  
Luca Muscatello
Keyword(s):  
Solitary Fibrous Tumor ◽  
Retropharyngeal Space ◽  
Fibrous Tumor

scholarly journals Solitary fibrous tumor of the post-styloid parapharyngeal space

2014 ◽  
Vol 3 (6) ◽  
pp. 204798161453615
Author(s):  
Ji Eun Lee ◽  
Hyun Sook Hong ◽  
Kee-Hyun Chang ◽  
Hee Kyung Kim ◽  
Jisang Park
Keyword(s):  
Differential Diagnosis ◽  
Head And Neck ◽  
Solitary Fibrous Tumor ◽  
Parapharyngeal Space ◽  
Rare Occurrence ◽  
Radiographic Findings ◽  
Spindle Cells ◽  
Neck Area ◽  
Rare Location ◽  
Fibrous Tumor

Solitary fibrous tumor (SFT) is a well-known tumor composed of spindle cells found most commonly in the pleura. Recently, accounts of their rare occurrence at other sites, including the head and neck area, have been reported. The parapharyngeal space is a rare location even for head and neck SFTs, and thus, could be confused with a variety of other tumors that can originate in this area. Here, we report a case of SFT originating from the post-styloid parapharyngeal space and discuss the possible differential diagnosis on radiographic findings.

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