A preoperative misdiagnosis case: report of an enormous solitary fibrous tumor at the anterior skull base

Abstract Background Solitary fibrous tumor (SFT) is an uncommon spindle cell neoplasm primarily observed in the pleura. Instances of intracranial solitary fibrous tumors are exceedingly rare. Achieving accurate preoperative diagnosis remains challenging. This report aims to enhance the understanding...

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Main Authors: Shiqi Kong, Jingliang You, Yapeng Wang, Jingbo Yan, Sajjad Muhammad, Rui Zhang
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:Egyptian Journal of Neurosurgery
Subjects:
Online Access:https://doi.org/10.1186/s41984-025-00343-7
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author Shiqi Kong
Jingliang You
Yapeng Wang
Jingbo Yan
Sajjad Muhammad
Rui Zhang
author_facet Shiqi Kong
Jingliang You
Yapeng Wang
Jingbo Yan
Sajjad Muhammad
Rui Zhang
author_sort Shiqi Kong
collection DOAJ
description Abstract Background Solitary fibrous tumor (SFT) is an uncommon spindle cell neoplasm primarily observed in the pleura. Instances of intracranial solitary fibrous tumors are exceedingly rare. Achieving accurate preoperative diagnosis remains challenging. This report aims to enhance the understanding of this rare disease, shedding light on diagnostic intricacies, and therapeutic considerations. Case presentation Herein, we present a case involving an enormous SFT situated at the anterior skull base, initially misdiagnosed as meningioma. Comprehensive scrutiny of preoperative images, intraoperative observations, pathological analyses, and subsequent treatment strategies is detailed. Conclusion Intracranial SFT, frequently misdiagnosed radiologically as meningiomas, may originate in the subarachnoid region, emphasizing the necessity of surgical resection and the potential benefit of postoperative radiotherapy to enhance treatment efficacy.
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institution Kabale University
issn 2520-8225
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publishDate 2025-01-01
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series Egyptian Journal of Neurosurgery
spelling doaj-art-d9b1cb5089e443f19d6dcf056c753ff82025-02-02T12:12:52ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-01-014011610.1186/s41984-025-00343-7A preoperative misdiagnosis case: report of an enormous solitary fibrous tumor at the anterior skull baseShiqi Kong0Jingliang You1Yapeng Wang2Jingbo Yan3Sajjad Muhammad4Rui Zhang5Department of Neurosurgery, Xingtai People’s Hospital Hebei Medical UniversityDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-UniversityDepartment of Neurosurgery, Medical Center of Xindu DistrictDepartment of Pathology, Xingtai People’s Hospital Hebei Medical UniversityDepartment of Neurosurgery, Medical Faculty, Heinrich-Heine-UniversityDepartment of Neurosurgery, Xingtai People’s Hospital Hebei Medical UniversityAbstract Background Solitary fibrous tumor (SFT) is an uncommon spindle cell neoplasm primarily observed in the pleura. Instances of intracranial solitary fibrous tumors are exceedingly rare. Achieving accurate preoperative diagnosis remains challenging. This report aims to enhance the understanding of this rare disease, shedding light on diagnostic intricacies, and therapeutic considerations. Case presentation Herein, we present a case involving an enormous SFT situated at the anterior skull base, initially misdiagnosed as meningioma. Comprehensive scrutiny of preoperative images, intraoperative observations, pathological analyses, and subsequent treatment strategies is detailed. Conclusion Intracranial SFT, frequently misdiagnosed radiologically as meningiomas, may originate in the subarachnoid region, emphasizing the necessity of surgical resection and the potential benefit of postoperative radiotherapy to enhance treatment efficacy.https://doi.org/10.1186/s41984-025-00343-7Solitary fibrous tumorMisdiagnosisIntracranial neoplasm
spellingShingle Shiqi Kong
Jingliang You
Yapeng Wang
Jingbo Yan
Sajjad Muhammad
Rui Zhang
A preoperative misdiagnosis case: report of an enormous solitary fibrous tumor at the anterior skull base
Egyptian Journal of Neurosurgery
Solitary fibrous tumor
Misdiagnosis
Intracranial neoplasm
title A preoperative misdiagnosis case: report of an enormous solitary fibrous tumor at the anterior skull base
title_full A preoperative misdiagnosis case: report of an enormous solitary fibrous tumor at the anterior skull base
title_fullStr A preoperative misdiagnosis case: report of an enormous solitary fibrous tumor at the anterior skull base
title_full_unstemmed A preoperative misdiagnosis case: report of an enormous solitary fibrous tumor at the anterior skull base
title_short A preoperative misdiagnosis case: report of an enormous solitary fibrous tumor at the anterior skull base
title_sort preoperative misdiagnosis case report of an enormous solitary fibrous tumor at the anterior skull base
topic Solitary fibrous tumor
Misdiagnosis
Intracranial neoplasm
url https://doi.org/10.1186/s41984-025-00343-7
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