Retroperitoneal Solitary Fibrous Tumor: A “Patternless” Tumor
Introduction. Solitary fibrous tumor is a rare type of mesenchymal, spindle-cell tumor reported mostly in the pleura. Retroperitoneal occurrence is rare and histopathological diagnosis is challenging. Case Presentation. A 55-year-old woman with nonspecific abdominal pain was found to have a retroper...
Saved in:
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2017-01-01
|
Series: | Case Reports in Oncological Medicine |
Online Access: | http://dx.doi.org/10.1155/2017/4634235 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832562538737303552 |
---|---|
author | D. Myoteri D. Dellaportas C. Nastos I. Gioti G. Gkiokas E. Carvounis T. Theodosopoulos |
author_facet | D. Myoteri D. Dellaportas C. Nastos I. Gioti G. Gkiokas E. Carvounis T. Theodosopoulos |
author_sort | D. Myoteri |
collection | DOAJ |
description | Introduction. Solitary fibrous tumor is a rare type of mesenchymal, spindle-cell tumor reported mostly in the pleura. Retroperitoneal occurrence is rare and histopathological diagnosis is challenging. Case Presentation. A 55-year-old woman with nonspecific abdominal pain was found to have a retroperitoneal/pelvic mass adjacent to the upper rectum. The patient underwent surgical resection in clear margins of this pelvic tumor, entering the total mesenteric excision surgical plane. Final histopathology revealed a solitary fibrous tumor and the case is presented herein. Discussion. Solitary fibrous tumor in the retroperitoneum is rarely found in the literature and to the best of our knowledge less than a hundred cases are described so far. Histopathological diagnosis is mostly based on a “patternless pattern” on microscopic examination, which is a storiform arrangement of spindle cells combined with a “hemangiopericytoma-like appearance” and increased vascularity of the lesion. Surgery is the mainstay of treatment and recurrence rates are generally low. |
format | Article |
id | doaj-art-7a3c610f142f40c49785e9a537a02360 |
institution | Kabale University |
issn | 2090-6706 2090-6714 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Oncological Medicine |
spelling | doaj-art-7a3c610f142f40c49785e9a537a023602025-02-03T01:22:28ZengWileyCase Reports in Oncological Medicine2090-67062090-67142017-01-01201710.1155/2017/46342354634235Retroperitoneal Solitary Fibrous Tumor: A “Patternless” TumorD. Myoteri0D. Dellaportas1C. Nastos2I. Gioti3G. Gkiokas4E. Carvounis5T. Theodosopoulos6Pathology Department, Aretaieion University Hospital, Medical School of Athens, Athens, Greece2nd Department of Surgery, Aretaieion University Hospital, Medical School of Athens, Athens, Greece2nd Department of Surgery, Aretaieion University Hospital, Medical School of Athens, Athens, GreecePathology Department, Aretaieion University Hospital, Medical School of Athens, Athens, Greece2nd Department of Surgery, Aretaieion University Hospital, Medical School of Athens, Athens, GreecePathology Department, Aretaieion University Hospital, Medical School of Athens, Athens, Greece2nd Department of Surgery, Aretaieion University Hospital, Medical School of Athens, Athens, GreeceIntroduction. Solitary fibrous tumor is a rare type of mesenchymal, spindle-cell tumor reported mostly in the pleura. Retroperitoneal occurrence is rare and histopathological diagnosis is challenging. Case Presentation. A 55-year-old woman with nonspecific abdominal pain was found to have a retroperitoneal/pelvic mass adjacent to the upper rectum. The patient underwent surgical resection in clear margins of this pelvic tumor, entering the total mesenteric excision surgical plane. Final histopathology revealed a solitary fibrous tumor and the case is presented herein. Discussion. Solitary fibrous tumor in the retroperitoneum is rarely found in the literature and to the best of our knowledge less than a hundred cases are described so far. Histopathological diagnosis is mostly based on a “patternless pattern” on microscopic examination, which is a storiform arrangement of spindle cells combined with a “hemangiopericytoma-like appearance” and increased vascularity of the lesion. Surgery is the mainstay of treatment and recurrence rates are generally low.http://dx.doi.org/10.1155/2017/4634235 |
spellingShingle | D. Myoteri D. Dellaportas C. Nastos I. Gioti G. Gkiokas E. Carvounis T. Theodosopoulos Retroperitoneal Solitary Fibrous Tumor: A “Patternless” Tumor Case Reports in Oncological Medicine |
title | Retroperitoneal Solitary Fibrous Tumor: A “Patternless” Tumor |
title_full | Retroperitoneal Solitary Fibrous Tumor: A “Patternless” Tumor |
title_fullStr | Retroperitoneal Solitary Fibrous Tumor: A “Patternless” Tumor |
title_full_unstemmed | Retroperitoneal Solitary Fibrous Tumor: A “Patternless” Tumor |
title_short | Retroperitoneal Solitary Fibrous Tumor: A “Patternless” Tumor |
title_sort | retroperitoneal solitary fibrous tumor a patternless tumor |
url | http://dx.doi.org/10.1155/2017/4634235 |
work_keys_str_mv | AT dmyoteri retroperitonealsolitaryfibroustumorapatternlesstumor AT ddellaportas retroperitonealsolitaryfibroustumorapatternlesstumor AT cnastos retroperitonealsolitaryfibroustumorapatternlesstumor AT igioti retroperitonealsolitaryfibroustumorapatternlesstumor AT ggkiokas retroperitonealsolitaryfibroustumorapatternlesstumor AT ecarvounis retroperitonealsolitaryfibroustumorapatternlesstumor AT ttheodosopoulos retroperitonealsolitaryfibroustumorapatternlesstumor |