Giant cervico-mediastinal solitary fibrous tumor.
Eur Arch Otorhinolaryngol
; 271(6): 1833-8, 2014 Jun.
Article
em En
| MEDLINE
| ID: mdl-24609642
ABSTRACT
OBJECTIVES:
Extra-pleural solitary fibrous tumor (ESFT) is an uncommon mesenchymal neoplasm that is anatomically ubiquitous and may be found anywhere in the body, including the head and neck region. It is usually asymptomatic and presents as a slowly growing painless mass. Only three cases of retropharyngeal ESFT have been reported in the literature. METHODS ANDRESULTS:
A 54-year-old female affected by a cervicomediastinal mass complained of progressive dysphonia, pharyngeal foreign body sensation, and mild dyspnea. CT and MR showed a huge retropharyngoesophageal lesion extending to the upper posterior mediastinum. The tumor, despite its caudal extension, was completely removed with a pure cervicotomic approach; histology was consistent with ESFT.CONCLUSIONS:
Histopathology and immunohistochemistry are crucial in the diagnosis of solitary fibrous tumor. Radical excision after primary treatment is the most important indicator of prognosis, and long-term clinical follow-up is recommended due to the possibility of recurrence and/or malignant transformation.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tumores Fibrosos Solitários
/
Neoplasias de Cabeça e Pescoço
/
Neoplasias do Mediastino
Tipo de estudo:
Prognostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article