Trans-sacral resection of a solitary fibrous tumor in the pelvis: Report of a case

Hidetoshi Katsuno; Koutarou Maeda; Tsunekazu Hanai; Harunobu Sato; Koji Masumori; Yoshikazu Koide; Hiroshi Matsuoka; Tomohito Noro; Yasunari Takakuwa; Ryouta Hanaoka

doi:10.1007/s00595-010-4535-2

Trans-sacral resection of a solitary fibrous tumor in the pelvis: Report of a case

Hidetoshi Katsuno, Koutarou Maeda, Tsunekazu Hanai, Harunobu Sato, Koji Masumori, Yoshikazu Koide, Hiroshi Matsuoka, Tomohito Noro, Yasunari Takakuwa, Ryouta Hanaoka

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11 Citations (Scopus)

Abstract

Solitary fibrous tumors (SFTs) develop most commonly in the pleura, although they have occasionally been reported to arise in the pelvic cavity. We report a case of an SFT presenting as a painless nodule in the pelvis of a 56-year-old woman. Histologically, the tumor was composed of spindle-shaped cells arranged without pattern, with short and narrow fascicles and interspersed bundles of thick collagen, and numerous blood vessels with a focally hemangiopericytoma-like appearance. Immunohistochemically, the tumor cells strongly expressed vimentin, CD34, and bcl-2. The tumor was excised via a trans-sacral approach, without preoperative transcatheter embolization, and the patient remains well more than 2 years after her operation. To our knowledge, this is the first case of an SFT in the pelvis, which was excised completely via a trans-sacral approach.

Original language	English
Pages (from-to)	1548-1551
Number of pages	4
Journal	Surgery Today
Volume	41
Issue number	11
DOIs	https://doi.org/10.1007/s00595-010-4535-2
Publication status	Published - 11-2011

All Science Journal Classification (ASJC) codes

Surgery

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title = "Trans-sacral resection of a solitary fibrous tumor in the pelvis: Report of a case",

abstract = "Solitary fibrous tumors (SFTs) develop most commonly in the pleura, although they have occasionally been reported to arise in the pelvic cavity. We report a case of an SFT presenting as a painless nodule in the pelvis of a 56-year-old woman. Histologically, the tumor was composed of spindle-shaped cells arranged without pattern, with short and narrow fascicles and interspersed bundles of thick collagen, and numerous blood vessels with a focally hemangiopericytoma-like appearance. Immunohistochemically, the tumor cells strongly expressed vimentin, CD34, and bcl-2. The tumor was excised via a trans-sacral approach, without preoperative transcatheter embolization, and the patient remains well more than 2 years after her operation. To our knowledge, this is the first case of an SFT in the pelvis, which was excised completely via a trans-sacral approach.",

author = "Hidetoshi Katsuno and Koutarou Maeda and Tsunekazu Hanai and Harunobu Sato and Koji Masumori and Yoshikazu Koide and Hiroshi Matsuoka and Tomohito Noro and Yasunari Takakuwa and Ryouta Hanaoka",

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T1 - Trans-sacral resection of a solitary fibrous tumor in the pelvis

T2 - Report of a case

AU - Katsuno, Hidetoshi

AU - Maeda, Koutarou

AU - Hanai, Tsunekazu

AU - Sato, Harunobu

AU - Masumori, Koji

AU - Koide, Yoshikazu

AU - Matsuoka, Hiroshi

AU - Noro, Tomohito

AU - Takakuwa, Yasunari

AU - Hanaoka, Ryouta

PY - 2011/11

Y1 - 2011/11

N2 - Solitary fibrous tumors (SFTs) develop most commonly in the pleura, although they have occasionally been reported to arise in the pelvic cavity. We report a case of an SFT presenting as a painless nodule in the pelvis of a 56-year-old woman. Histologically, the tumor was composed of spindle-shaped cells arranged without pattern, with short and narrow fascicles and interspersed bundles of thick collagen, and numerous blood vessels with a focally hemangiopericytoma-like appearance. Immunohistochemically, the tumor cells strongly expressed vimentin, CD34, and bcl-2. The tumor was excised via a trans-sacral approach, without preoperative transcatheter embolization, and the patient remains well more than 2 years after her operation. To our knowledge, this is the first case of an SFT in the pelvis, which was excised completely via a trans-sacral approach.

AB - Solitary fibrous tumors (SFTs) develop most commonly in the pleura, although they have occasionally been reported to arise in the pelvic cavity. We report a case of an SFT presenting as a painless nodule in the pelvis of a 56-year-old woman. Histologically, the tumor was composed of spindle-shaped cells arranged without pattern, with short and narrow fascicles and interspersed bundles of thick collagen, and numerous blood vessels with a focally hemangiopericytoma-like appearance. Immunohistochemically, the tumor cells strongly expressed vimentin, CD34, and bcl-2. The tumor was excised via a trans-sacral approach, without preoperative transcatheter embolization, and the patient remains well more than 2 years after her operation. To our knowledge, this is the first case of an SFT in the pelvis, which was excised completely via a trans-sacral approach.

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EP - 1551

JO - Surgery Today

JF - Surgery Today

IS - 11

ER -

Trans-sacral resection of a solitary fibrous tumor in the pelvis: Report of a case

Abstract

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