Incidental solitary fibrous tumor involving the seminal vesicle: A case report

Solitary fibrous tumors are rare mesenchymal neoplasms that can range from slow-growing to aggressive tumors. This report presents a unique case of a young male patient with a solitary fibrous tumor involving the seminal vesicle, a rare location, and reinforces incidental discovery of these tumors o...

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Bibliographic Details
Published in:Radiology case reports 2024-04, Vol.19 (4), p.1654-1657
Main Authors: Bansal, Riya, Shirkhoda, Layla, O'Connell, Ryan, Houshyar, Roozbeh
Format: Article
Language:English
Subjects:
Case Report
Computed tomography angiogram
Fluorodeoxyglucose positron emission tomography- computed
Magnetic resonance imaging
Solitary fibrous tumor
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Summary:Solitary fibrous tumors are rare mesenchymal neoplasms that can range from slow-growing to aggressive tumors. This report presents a unique case of a young male patient with a solitary fibrous tumor involving the seminal vesicle, a rare location, and reinforces incidental discovery of these tumors on imaging and physical exams. Detection of these tumors is imperative to identify and treat malignancy. In our case, a 39-year-old previously healthy Asian male presents to the emergency department as a trauma admission post bicycle crash and is incidentally found to have a pelvic mass on computed tomography imaging of the pelvis. The patient underwent trans-anal biopsy which showed spindle epithelioid cells positive for CD34 and STAT6 markers, with a morphological and immunohistochemical profile consistent with a solitary fibrous tumor. The patient underwent surgery with a robotic-assisted laparoscopic pelvic mass resection and now follows up annually with imaging for observation.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.01.046