5年13例颌面部孤立性纤维瘤的回顾性研究

Abstract

Abstract: Objective To explore the diagnostic methods and therapeutic principles of maxillofacial solitary fibrous tumors (SFT) through a retrospective analysis of clinical cases.Methods From 2009 to 2014,patients with maxillofacial SFT were counted in Shanghai No.9 Hospital oral-pathology database.The clinical data,imaging data and diagnostic methods were analyzed.Results 13 patients were selected in this study,whose post-operative pathology diagnoses were SFT with no typical clinical specificities,and their tumors were significantly enhancing masses according to the CT data.The immunohistochemistry of neoplasm cells were all positive for CD34 and Vim,and negative for Des.The wound healings were fine without any complications in 13 patients.During the post-operative follow-up period of 3 to 60 months,recurrences were found in 2 patients whose first pathological results were malignant SFT.After a reoperation,recurrences didn′t happen again in these 2 patients.Conclusions SFT was a rare disease in the maxillofacial region,and only the immunohistochemistry of the whole specimen would confirm the diagnosis.Complete radical resection was the first choice,long-term close follow-up was mandatory to control the recurrences,and the patient′s prognosis was usually satisfactory.

Key words: maxillofacial region, solitary fibrous tumor, diagnosis, treatment

CLC Number:

R739.8

References

[1]Klemperer P,Rabin CB.Primary neoplasm of the pleura:a report of five cases[J].Arch Pathol,1931,11:385-412
[2]Profyris C,Soilleux E,Corkill R,et al.Solitary fibrous tumour of the face:a rare case report[J].J Plast Reconstr Aesthet Surg,2010,63:13-15
[3]Witkin GB,Rosai J.Solitary fibrous tumor of the upper respiratory tractA report of six cases[J]..Am J Surg Pathol,1991,15(9):842-848
[4]Greig AV,Spraggs PD,Mannion E,et al.Solitary fibrous tumour of the deep soft t5s of the neck[J].J Laryngol Otol,1998,112(5):503-505
[5]〓Kim HJ,Lee HK,Seo JJ,et al.MR imaging of solitary fibrous tumors in the head and neck［J］.Korean J Radiol,c2005,6(3):136-142.
[6]Chan JK.Solitary fibrous tumour——everywhere,and a diagnosis in vogue[J].Histopathology,1997,31(6):568-576
[7]Naveen HN,Nelivigi GN,Venkatesh GK,et al.A case of solitary fibrous tumor of the kidney[J].Urol Ann,2011,3(3):158-160
[8]Suehisa H,Yamashita M,Komori E,et al.Solitary fibrous tumor of the mediastinum[J].Gen Thorac Cardiovasc Surg,2010,58(4):205-208
[9]Vossough A,Torigian DA,Zhang PJ,et al.Extrathoracic solitary fibrous tumor of the pelvic peritoneum with central malignant degeneration on CT and MRI[J].J Magn Reson Imaging,2005,22(5):684-686
[10]Brigui M,Aldea S,Bernier M,et al.Two patients with a solitary fibrous tumor of the thoracic spinal cord[J].J Clin Neurosci,2013,20(2):317-319
[11]Erdag G,Qureshi HS,Patterson JW,et al.Solitary fibrous tumors of the skin:a clinicopathologic study of 10 cases and review of the literature[J].J Cutan Pathol,2007,34(11):844-850
[12]Verdi D,Pennelli G,Pelizzo MR,et al.Solitary fibrous tumor of the thyroid gland:a report of two cases with an analysis of their clinical and pathological features[J].Endocr Pathol,2011,22(3):165-169
[13]Yang BT,Wang YZ,Dong JY,et al.MRI study of solitary fibrous tumor in the orbit[J].AJR Am J Roentgenol,2012,199(4):W506-511
[14]陈旭东.孤立性纤维瘤影像学分析(附5例报告)[J].现代实用医学,2014,26(5):543-544
[15]Bowe SN,Wakely PEJ,Ozer E.Head and neck solitary fibrous tumors:diagnostic and therapeutic challenges[J].Laryngoscope,2012,122(8):1748-1755
[16]Satomi T,Hasegawa O,Abukawa H,et al.Exceptionally large solitary fibrous tumor arising from the cheek:an immunohistochemical and ultrastructural study with a review of the literature[J].Med Mol Morphol,2014,47(2):108-116
[17]Dotan ZA,Mor Y,Olchovsky D,et al.Solitary fibrous tumor presenting as perirenal mass associated with hypoglycemia[J].J Urol,1999,162(6):2087-2088
[18]Ganly I,Patel SG,Stambuk HE,et al.Solitary fibrous tumors of the head and neck:a clinicopathologic and radiologic review[J].Arch Otolaryngol Head Neck Surg,2006,132(5):517-525
[19]Wignall OJ,Moskovic EC,Thway K,et al.Solitary fibrous tumors of the soft t1s:review of the imaging and clinical features with histopathologic correlation[J].AJR Am J Roentgenol,2010,195(1):W55-62
[20]Gengler C,Guillou L.Solitary fibrous tumour and haemangiopericytoma:evolution of a concept[J].Histopathology,2006,48(1):63-74
[21]VallatDecouvelaere AV,Dry SM,Fletcher CD.Atypical and malignant solitary fibrous tumors in extrathoracic locations:evidence of their comparability to intrathoracic tumors[J].Am J Surg Pathol,1998,22(12):1501-11
[22]Janjua A,Sklar M,Macmillan C,et al.Endoscopic resection of solitary fibrous tumors of the nose and paranasal sinuses[J].Skull Base,2011,21(2):129-34
[23]Cristofaro MG,Allegra E,Giudice M.Two new localizations of solitary fibrous tumor in the italian population:parotid gland and oral cavityreview of the literature[J].J Oral Maxillofac Surg,2012,70(10):2360-2367
[24]Romer M,Bode B,Schuknecht B,et al.Solitary fibrous tumor of the orbit——two cases and a review of the literatureEuropean archives of otorhinolaryngology[J]..Eur Arch Otorhinolaryngol,2005,262(2):81-88
[25]Tsutsumi N,Kojima Y,Nishida K,et al.Surgical treatment for recurrent solitary fibrous tumor invading atlas[J].Head Neck,2014,36(11):E121-124
[26]Gold JS,Antonescu CR,Hajdu C,et al.Clinicopathologic correlates of solitary fibrous tumors[J].Cancer,2002,15，94(4):1057-1068

Retrospective study of 13 maxillofacial solitary fibrous tumors in 5 years

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