Title:
Solitary fibrous tumour of the soft tissue of the face: a case report
Authors:
S. Schmitz*, B. Weynand**, B. Lengelé*** and M. Hamoir*
Institutions:
*Department of Oto-Rhino-Laryngology and Head and Neck Surgery, **Department of Pathology, ***Department of Plastic and Reconstructive Surgery, St-Luc University Hospital, Brussels, Belgium
Keywords:
Fibrous tumour; face; soft tissue
Pages:
201 - 204
Abstract:
Solitary fibrous tumour of the soft tissue of the face: a case report. I: Solitary fibrous tumour (SFT) is a rare mesenchymal neoplasm described first in the pleura. Recently, SFTs have been found in various extraserosal locations, including the head and neck region. Case presentation: We report a case of SFT originating from the periorbital region of the face. Preoperative cytological examination by fine needle aspiration biopsy diagnosed a mesenchymal tumour. The patient underwent surgical resection. The mass was completely resected. Definitive histostopathologic and immunohistologic examination confirmed the diagnosis of SFT. Discussion: The rare localisation in extrapleural sites and the multiplicity of histological patterns can explain the diffi- culty in arriving at a definitive diagnosis in SFT. Usually, SFT is a benign tumour, although malignant variants exist. Clinical behaviour is unpredictable and recurrence or malignant transformation can also occur, especially in cases with macroscopically or microscopically invaded margins. Complete surgical excision and long follow-up is therefore always recommended. The recent increase in reports of extrapleural SFT indicates that this rare tumour should be included in the differential diagnosis of soft tissue head and neck tumours.
Issue:
Vol. 2, 2006, 4th trimester


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Solitary fibrous tumour of the soft tissue of the face: a case report