Solitary Fibrous Tumor of Central Nervous System: A Case Report.
10.14791/btrt.2015.3.2.127
- Author:
Jang Hoon KIM
1
;
Kook Hee YANG
;
Pyeong Ho YOON
;
Jeong Hae KIE
Author Information
1. Department of Neurosurgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea. khyang@nhimc.or.kr
- Publication Type:Case Report
- Keywords:
Solitary fibrous tumors;
Central nervous system
- MeSH:
Brain;
Central Nervous System*;
Diagnosis;
Female;
Follow-Up Studies;
Frontal Lobe;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Skull Base;
Solitary Fibrous Tumors*
- From:Brain Tumor Research and Treatment
2015;3(2):127-131
- CountryRepublic of Korea
- Language:English
-
Abstract:
Solitary fibrous tumor (SFT) is a rare neoplasm of mesenchymal origin, especially in the central nervous system (CNS). Reported herein is a case of SFT of CNS in a 63-year-old female patient who had confused mentality, without other neurological deficit. The brain MRI showed an ovoid mass in the right frontal lobe. The tumor was surgically removed grossly and totally, and the pathologic diagnosis was SFT. At 55 months after the surgery, the tumor recurred at the primary site and at an adjacent area. A second operation was thus done, and the tumor was again surgically removed grossly and totally. The pathologic diagnosis was the same as the previous, but the Ki-67 index was elevated. Ten months later, two small recurring tumors in the right frontal skull base were found in the follow-up MRI. It was decided that radiation therapy be done, and MRI was done again 3 months later. In the follow-up MRI, the size of the recurring mass was found to have decreased, and the patient did not manifest any significant symptom. Follow-up will again be done 18 months after the second surgery.