2023, Number 1
<< Back
Otorrinolaringología 2023; 68 (1)
Solitary fibrous tumor of the nasopharynx and nasal cavity
Maldonado-Tinajero AL, Conde-Vázquez E, López-De la Torre EA, Zarzoza-Núñez D, Mayorga-Butron JL, Montaño-Velázquez BB
Language: Spanish
References: 22
Page: 40-46
PDF size: 362.64 Kb.
ABSTRACT
Background: Solitary fibrous tumor is a rare tumor that usually occurs in the pleura.
It is a tumor of a mesothelial or mesenchymal cell origin. This tumor occasionally has
been reported in extrapleural sites including head and neck regions. Clinically, the
extrapleural lesions may be present with symptoms related to the tumor site.
Clinical case: A 51-year-old female patient with progressive unilateral left-sided
nasal obstruction and rhinorrhea. Nasal endoscopy and imaging exams revealed a
vascular mass filling the entire left nasal cavity extending up to the nasopharynx. The
tumor had marked enhancement after the administration of contrast material. Biopsy
specimen examination reported solitary fibrous tumor. Immuno-histochemical analyses
confirmed the diagnosis. The patient was undergone preoperative embolization with
posterior tumoral excision by transpalatal approach.
Conclusions: Solitary fibrous tumor of nasal cavity is a very rare illness, which is
difficult to differentiate with other diseases.
REFERENCES
Wagner E. Das tuberkelähnliche Lymphadenom. (Der cytogeneoder reticulirte Tuberkel). Leipzig: O. Wigand; 1871.
Klemperer P, Coleman BR. Primary neoplasms of the pleura.A report of five cases. Am J Ind Med 1992; 22: 1-31. doi:10.1002/ajim.4700220103.
Zukerberg LR, Rosenberg AE, Randolph G, Pilch BZ, GoodmanML. Solitary fibrous tumor of the nasal cavity andparanasal sinuses. Am J Surg Pathol 1991; 15: 126-130.doi:10.1097/00000478-199102000-00004.
Batsakis JG, Hybels RD, el-Naggar AK. Solitary fibrous tumor.Ann Otol Rhinol Laryngol 1993; 102 (1 Pt 1): 74-76.doi:10.1177/000348949310200114.
Stringfellow HF, Khan IA, Sissons MC. Solitary fibroustumour arising in the nasal cavity: report of a case.J Laryngol Otol 1996; 110: 468-470. doi:10.1017/s0022215100134000.
Goodlad JR, Fletcher CD. Solitary fibrous tumour arising atunusual sites: analysis of a series. Histopathology 1991; 19(6): 515-522. doi:10.1111/j.1365-2559.1991.tb01499.x.
Shin JH, Sung IY, Suh JH, Yang SO, Jeong YK, Lee JH, HwangJC. Solitary fibrous tumor in the buccal space: MR findingswith pathologic correlation. AJNR Am J Neuroradiol 2001;22 (10): 1890-2.
Jeong AK, Lee HK, Kim SY, Cho KJ. Solitary fibrous tumor ofthe parapharyngeal space: MR imaging findings. AJNR AmJ Neuroradiol 2002; 23: 473-5.
Kim TA, Brunberg JA, Pearson JP, Ross DA. Solitary fibroustumor of the paranasal sinuses: CT and MR appearance.AJNR Am J Neuroradiol 1996; 17: 1767-72.
Masmoudi M, Hasnaoui M, Dgani I, Thabet W, et al.Solitary fibrous tumor of the external auditory canal.Ear Nose Throat J 2021; 145561321997539. doi:10.1177/0145561321997539.
Thompson LDR, Lau SK. Sinonasal tract solitary fibroustumor: A clinicopathologic study of six cases with a comprehensivereview of the literature. Head Neck Pathol 2018;
12: 471-480. doi: 10.1007/s12105-017-0878-y.12. Thway K, Ng W, Noujaim J, Jones RL, Fisher C. The currentstatus of solitary fibrous tumor: Diagnostic features, variants,and genetics. Int J Surg Pathol 2016; 24: 281-92.doi: 10.1177/1066896915627485.
Hicks DL, Moe KS. Nasal solitary fibrous tumor arising fromthe anterior cranial fossa. Skull Base 2004; 14: 203-207.doi:10.1055/s-2004-860951.
Kessler A, Lapinsky J, Berenholz L, Sarfaty S, Segal S. Solitaryfibrous tumor of the nasal cavity. Otolaryngol HeadNeck Surg 1999; 121: 826-828. doi:10.1053/hn.1999.v121.a95230.
Fletcher MDL, Bridge JA, Lee JC. Tumor fibroso solitario extrapleural.En: Fletcher CDM, Bridge JA, Hogendoorn PCW,Mertens F, Editores. Clasificación de la OMS de tumores detejidos blandos y huesos. Lyon: IARC; 2013: 80-82.
Kakkar A, Sakthivel P, Rajeshwari M, Kairo A, Sharma MC.Recurrent sinonasal CD34-negative malignant solitaryfibrous tumor diagnosed on STAT6 immunohistochemistryand NAB2-STAT6 fusion. Head Neck Pathol 2020; 14: 250-256. doi: 10.1007/s12105-018-00999-8.
Geramizadeh B, Marzban M, Churg A. Role of immunohistochemistryin the diagnosis of solitary fibrous tumor, areview. Iran J Pathol 2016; 11: 195-203.
Yang BT, Song ZL, Wang YZ, Dong JY, Wang ZC. Solitaryfibrous tumor of the sinonasal cavity: CT and MR imagingfindings. AJNR Am J Neuroradiol 2013; 34: 1248-51. doi:10.3174/ajnr.A3485.
Kim HJ, Lee HK, Seo JJ, Kim HJ, Shin JH, Jeong AK, Lee JH,Cho KJ. MR imaging of solitary fibrous tumors in the headand neck. Korean J Radiol 2005; 6: 136-42. doi: 10.3348/kjr.2005.6.3.136.
Pasquali S, Gronchi A, Strauss D, Bonvalot S, et al. Resectableextra-pleural and extra-meningeal solitary fibroustumours: A multi-centre prognostic study. Eur J Surg Oncol2016; 42: 1064-1070. doi:10.1016/j.ejso.2016.01.023.
Mishra A, Mishra SC, Verma V, Singh HP, et al. In defence oftranspalatal, transpalatal-circumaxillary (transpterygopalatine)and transpalatal-circumaxillary-sublabial approachesto lateral extensions of juvenile nasopharyngeal angiofibroma.J Laryngol Otol 2016; 130: 462-473. doi:10.1017/S0022215116000773.
Mosquera JM, Fletcher CD. Expanding the spectrum ofmalignant progression in solitary fibrous tumors: a studyof 8 cases with a discrete anaplastic component--is thisdedifferentiated SFT?. Am J Surg Pathol 2009; 33: 1314-1321. doi:10.1097/PAS.0b013e3181a6cd33.