Fat-forming solitary fibrous tumor of the orbit with typical imaging findings

Purpose: We describe a case of fat-forming solitary fibrous tumor (SFT) of the orbit with typical findings on imaging that may improve the awareness of orbital fat-forming SFT. Observations: An 88-year-old female presented with exophthalmos and pain in her right eye. Preoperative imaging showed an o...

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Main Authors: Lan Yao, Xinji Yang, Wei Wu
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:American Journal of Ophthalmology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993624000021
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author Lan Yao
Xinji Yang
Wei Wu
author_facet Lan Yao
Xinji Yang
Wei Wu
author_sort Lan Yao
collection DOAJ
description Purpose: We describe a case of fat-forming solitary fibrous tumor (SFT) of the orbit with typical findings on imaging that may improve the awareness of orbital fat-forming SFT. Observations: An 88-year-old female presented with exophthalmos and pain in her right eye. Preoperative imaging showed an oval, well-defined mass with soft-tissue density, interspersed with a well-circumscribed lesion. The lesion showed low-density in computed tomography (CT) scans, hyperintense in T1/T2 weighted images of magnetic resonance imaging (MRI) scans and hypointense in fat-suppressed images of MRI scans. The tumor was removed en bloc and diagnosed as low-grade malignant fat-forming SFT by pathological examination. There was no evidence of recurrence 9-month postoperatively. Conclusions: The imaging feature of orbital fat-forming SFT is a well-defined solid tumor interspersed with adipose tissue. Such findings are vital for the preoperative diagnosis and the choice of the treatment.
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spelling doaj.art-8b70fd8214f54099a91218dd63fd14962024-02-21T05:29:20ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362024-03-0133101992Fat-forming solitary fibrous tumor of the orbit with typical imaging findingsLan Yao0Xinji Yang1Wei Wu2Senior Department of Ophthalmology, 3rd Medical Center of Chinese PLA General Hospital, Beijing, 100143, ChinaSenior Department of Ophthalmology, 3rd Medical Center of Chinese PLA General Hospital, Beijing, 100143, ChinaCorresponding author.; Senior Department of Ophthalmology, 3rd Medical Center of Chinese PLA General Hospital, Beijing, 100143, ChinaPurpose: We describe a case of fat-forming solitary fibrous tumor (SFT) of the orbit with typical findings on imaging that may improve the awareness of orbital fat-forming SFT. Observations: An 88-year-old female presented with exophthalmos and pain in her right eye. Preoperative imaging showed an oval, well-defined mass with soft-tissue density, interspersed with a well-circumscribed lesion. The lesion showed low-density in computed tomography (CT) scans, hyperintense in T1/T2 weighted images of magnetic resonance imaging (MRI) scans and hypointense in fat-suppressed images of MRI scans. The tumor was removed en bloc and diagnosed as low-grade malignant fat-forming SFT by pathological examination. There was no evidence of recurrence 9-month postoperatively. Conclusions: The imaging feature of orbital fat-forming SFT is a well-defined solid tumor interspersed with adipose tissue. Such findings are vital for the preoperative diagnosis and the choice of the treatment.http://www.sciencedirect.com/science/article/pii/S2451993624000021Solitary fibrous tumorFat-forming solitary fibrous tumorOrbital tumorImaging findings
spellingShingle Lan Yao
Xinji Yang
Wei Wu
Fat-forming solitary fibrous tumor of the orbit with typical imaging findings
American Journal of Ophthalmology Case Reports
Solitary fibrous tumor
Fat-forming solitary fibrous tumor
Orbital tumor
Imaging findings
title Fat-forming solitary fibrous tumor of the orbit with typical imaging findings
title_full Fat-forming solitary fibrous tumor of the orbit with typical imaging findings
title_fullStr Fat-forming solitary fibrous tumor of the orbit with typical imaging findings
title_full_unstemmed Fat-forming solitary fibrous tumor of the orbit with typical imaging findings
title_short Fat-forming solitary fibrous tumor of the orbit with typical imaging findings
title_sort fat forming solitary fibrous tumor of the orbit with typical imaging findings
topic Solitary fibrous tumor
Fat-forming solitary fibrous tumor
Orbital tumor
Imaging findings
url http://www.sciencedirect.com/science/article/pii/S2451993624000021
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