A Case Report of a Solitary Fibrous Tumor of the Maxillary Sinus
A solitary fibrous tumor (SFT) is a benign neoplasm, firstly described as a mesenchymal tumor of the pleura. Its incidence range in the head and neck region is about 5–27%, but only rarely does it affect paranasal sinuses. The differential diagnosis is challenging, owing to its erosive growth patter...
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MDPI AG
2021-10-01
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| author | Mattia Di Bartolomeo Sara Negrello Arrigo Pellacani Anna Maria Cesinaro Stefano Vallone Livio Presutti Luigi Chiarini Alexandre Anesi |
| author_facet | Mattia Di Bartolomeo Sara Negrello Arrigo Pellacani Anna Maria Cesinaro Stefano Vallone Livio Presutti Luigi Chiarini Alexandre Anesi |
| author_sort | Mattia Di Bartolomeo |
| collection | DOAJ |
| description | A solitary fibrous tumor (SFT) is a benign neoplasm, firstly described as a mesenchymal tumor of the pleura. Its incidence range in the head and neck region is about 5–27%, but only rarely does it affect paranasal sinuses. The differential diagnosis is challenging, owing to its erosive growth pattern and immuno-histochemical features. SFTs have an aggressive behavior and an important recurrence potential. Therefore, a radical surgical excision is the gold standard therapeutic procedure. A rare SFT originating from the right maxillary sinus is reported here. The 37-year-old patient presented to the outpatient clinic with a painful expansive lesion in the whole right maxillary region. The overlying skin was inflamed and the patient had no epistaxis episodes. The 1.5 dentary element tested negative for vitality; however, a puncture of the lesion led to a hematic spill and no purulent discharge. An endoscopic-guided biopsy was suggestive either of SFT or hemangioperictoma, excluding a malignant neoplasm. A multi-equipe surgical team was activated. The lesion was embolized in order to achieve a good hemostatic control and, after 48 h, the neoplasm was radically excised with a combined open and endoscopic approach. The patient was disease-free at 12-month radiological and clinical follow-up. Given the rarity of this lesion and the delicacy required in addressing head and neck neoplasms, we believe that the present case report might be of help in further understanding how to approach cranio-facial SFTs. |
| first_indexed | 2024-03-10T03:10:49Z |
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| id | doaj.art-9957dcbb6cfc442e8f037d3dd4866fc0 |
| institution | Directory Open Access Journal |
| issn | 2571-841X |
| language | English |
| last_indexed | 2024-03-10T03:10:49Z |
| publishDate | 2021-10-01 |
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| record_format | Article |
| series | Reports |
| spelling | doaj.art-9957dcbb6cfc442e8f037d3dd4866fc02023-11-23T10:26:02ZengMDPI AGReports2571-841X2021-10-01443310.3390/reports4040033A Case Report of a Solitary Fibrous Tumor of the Maxillary SinusMattia Di Bartolomeo0Sara Negrello1Arrigo Pellacani2Anna Maria Cesinaro3Stefano Vallone4Livio Presutti5Luigi Chiarini6Alexandre Anesi7Unit of Dentistry and Maxillo-Facial Surgery, University of Verona, 37134 Verona, ItalyCranio-Maxillo-Facial Surgery Unit, University Hospital, 41124 Modena, ItalyUnit of Dentistry and Maxillo-Facial Surgery, University of Verona, 37134 Verona, ItalyDepartment of Pathology, University of Modena and Reggio Emilia, 41124 Modena, ItalyInterventional Neuroradiology Unit and Stroke Unit, Ospedale Civile S. Agostino-Estense-University Hospital, 41124 Modena, ItalyUnit of Otorhinolaryngology, Department of Experimental, Diagnostic and Specialty Medicine—DIMES, University of Bologna, 40126 Bologna, ItalyCranio-Maxillo-Facial Unit and Biomaterials Laboratory, Department of Medical and Surgical Sciences for Children & Adults, University of Modena and Reggio Emilia, 41124 Modena, ItalyCranio-Maxillo-Facial Unit and Biomaterials Laboratory, Department of Medical and Surgical Sciences for Children & Adults, University of Modena and Reggio Emilia, 41124 Modena, ItalyA solitary fibrous tumor (SFT) is a benign neoplasm, firstly described as a mesenchymal tumor of the pleura. Its incidence range in the head and neck region is about 5–27%, but only rarely does it affect paranasal sinuses. The differential diagnosis is challenging, owing to its erosive growth pattern and immuno-histochemical features. SFTs have an aggressive behavior and an important recurrence potential. Therefore, a radical surgical excision is the gold standard therapeutic procedure. A rare SFT originating from the right maxillary sinus is reported here. The 37-year-old patient presented to the outpatient clinic with a painful expansive lesion in the whole right maxillary region. The overlying skin was inflamed and the patient had no epistaxis episodes. The 1.5 dentary element tested negative for vitality; however, a puncture of the lesion led to a hematic spill and no purulent discharge. An endoscopic-guided biopsy was suggestive either of SFT or hemangioperictoma, excluding a malignant neoplasm. A multi-equipe surgical team was activated. The lesion was embolized in order to achieve a good hemostatic control and, after 48 h, the neoplasm was radically excised with a combined open and endoscopic approach. The patient was disease-free at 12-month radiological and clinical follow-up. Given the rarity of this lesion and the delicacy required in addressing head and neck neoplasms, we believe that the present case report might be of help in further understanding how to approach cranio-facial SFTs.https://www.mdpi.com/2571-841X/4/4/33solitary fibrous tumorhemangiopericytomaCD34multidisciplinary approachendoscopy |
| spellingShingle | Mattia Di Bartolomeo Sara Negrello Arrigo Pellacani Anna Maria Cesinaro Stefano Vallone Livio Presutti Luigi Chiarini Alexandre Anesi A Case Report of a Solitary Fibrous Tumor of the Maxillary Sinus Reports solitary fibrous tumor hemangiopericytoma CD34 multidisciplinary approach endoscopy |
| title | A Case Report of a Solitary Fibrous Tumor of the Maxillary Sinus |
| title_full | A Case Report of a Solitary Fibrous Tumor of the Maxillary Sinus |
| title_fullStr | A Case Report of a Solitary Fibrous Tumor of the Maxillary Sinus |
| title_full_unstemmed | A Case Report of a Solitary Fibrous Tumor of the Maxillary Sinus |
| title_short | A Case Report of a Solitary Fibrous Tumor of the Maxillary Sinus |
| title_sort | case report of a solitary fibrous tumor of the maxillary sinus |
| topic | solitary fibrous tumor hemangiopericytoma CD34 multidisciplinary approach endoscopy |
| url | https://www.mdpi.com/2571-841X/4/4/33 |
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