Atypical solitary fibrous tumor of the nose and maxillary sinus

Background Solitary fibrous tumor (SFT) belongs to a group of mesenchymal tumors, also known as benign fibrous mesotheliomas or submesothelial fibromas. SFTs of the sinonasal tract are extremely rare. Methods We report a rare case of an atypical SFT of the sinonasal tract presenting with ipsilateral...

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Bibliographic Details
Published in:Head & neck 2013-03, Vol.35 (3), p.E77-E79
Main Authors: Papadakis, Ioannis, Koudounarakis, Eleftherios, Haniotis, Vrettos, Karatzanis, Alexander, Velegrakis, George
Format: Article
Language:English
Subjects:
Diagnosis, Differential
endoscopic sinus surgery
Endoscopy
Humans
immunohistochemistry
Male
Maxillary Sinus Neoplasms - pathology
Maxillary Sinus Neoplasms - surgery
Middle Aged
Nose Neoplasms - pathology
Nose Neoplasms - surgery
radiotherapy
sinonasal tract
solitary fibrous tumor
Solitary Fibrous Tumors - pathology
Solitary Fibrous Tumors - surgery
Therapy
Tomography, X-Ray Computed
Tumors
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Summary:Background Solitary fibrous tumor (SFT) belongs to a group of mesenchymal tumors, also known as benign fibrous mesotheliomas or submesothelial fibromas. SFTs of the sinonasal tract are extremely rare. Methods We report a rare case of an atypical SFT of the sinonasal tract presenting with ipsilateral nasal obstruction and recurrent epistaxis. Endoscopy and imaging studies showed a well‐circumscribed mass of the nose and the maxillary sinus. The patient underwent total endoscopic resection of the tumor. Results Permanent histology and immunohistochemical studies revealed an atypical variant of SFT of the sinonasal tract, with negative surgical margins. The patient did not receive any adjuvant treatment. Postoperative monitoring was uneventful. Conclusion In general, these tumors are reported to follow an indolent course. SFTs adopt a biological behavior that cannot be determined as malignant. Total surgical resection of the tumor remains the gold‐standard method of treatment. Head Neck, 2013
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.21909