Malignant intracranial solitary fibrous tumor: A case report and literature review

Solitary fibrous tumor (SFT), previously termed hemangiopericytoma, is a rare primary intracranial tumor. SFT is classified into grades I, II, and III with different prognoses; grade III tumor has malignant characteristics with a high probability of recurrence and extracranial metastasis. We report...

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Main Authors: Ta Hong Nhung, MD, Vu Le Minh, MD, Ngo-Le Lam, MD, Nguyen Duc Lien, MD, Nguyen Minh Duc, MD
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323001711
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author Ta Hong Nhung, MD
Vu Le Minh, MD
Ngo-Le Lam, MD
Nguyen Duc Lien, MD
Nguyen Minh Duc, MD
author_facet Ta Hong Nhung, MD
Vu Le Minh, MD
Ngo-Le Lam, MD
Nguyen Duc Lien, MD
Nguyen Minh Duc, MD
author_sort Ta Hong Nhung, MD
collection DOAJ
description Solitary fibrous tumor (SFT), previously termed hemangiopericytoma, is a rare primary intracranial tumor. SFT is classified into grades I, II, and III with different prognoses; grade III tumor has malignant characteristics with a high probability of recurrence and extracranial metastasis. We report the case of a 63-year-old female patient admitted to the Vietnam National Cancer Hospital with headache, dizziness, nausea, ataxia, and loss of balance. Computed tomography showed a markedly enhanced tumor, without calcification, located in the posterior fossa close to the tentorium cerebelli. No changes in the adjacent bone were seen. Magnetic resonance imaging revealed a lobular extra-axial tumor with prominent flow voids, a finding that has been seen frequently in these tumors. The tumor was resected following an initial diagnosis of SFT. Postoperative histology indicated a grade III SFT according to the World Health Organization 2021 classification. SFT is often misdiagnosed as meningioma, as they have some imaging features in common. However, we believe that there are some characteristic magnetic resonance imaging features that help to distinguish between these tumors, as well as playing an essential role in SFT grading and potentially guiding the best therapeutic decision.
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spelling doaj.art-9f5436dbfc354c1fac148624009304a32023-04-01T08:46:58ZengElsevierRadiology Case Reports1930-04332023-05-0118520142018Malignant intracranial solitary fibrous tumor: A case report and literature reviewTa Hong Nhung, MD0Vu Le Minh, MD1Ngo-Le Lam, MD2Nguyen Duc Lien, MD3Nguyen Minh Duc, MD4Department of Radiology, Vietnam National Cancer Hospital, 2 Duong Quang Trung, Ward 12, District 10, Hanoi, VietnamDepartment of Radiology, Vietnam National Cancer Hospital, 2 Duong Quang Trung, Ward 12, District 10, Hanoi, VietnamDepartment of Radiology, Vietnam National Cancer Hospital, 2 Duong Quang Trung, Ward 12, District 10, Hanoi, VietnamDepartment of Neurosurgery, Vietnam National Cancer Hospital, Hanoi, VietnamDepartment of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam; Corresponding author.Solitary fibrous tumor (SFT), previously termed hemangiopericytoma, is a rare primary intracranial tumor. SFT is classified into grades I, II, and III with different prognoses; grade III tumor has malignant characteristics with a high probability of recurrence and extracranial metastasis. We report the case of a 63-year-old female patient admitted to the Vietnam National Cancer Hospital with headache, dizziness, nausea, ataxia, and loss of balance. Computed tomography showed a markedly enhanced tumor, without calcification, located in the posterior fossa close to the tentorium cerebelli. No changes in the adjacent bone were seen. Magnetic resonance imaging revealed a lobular extra-axial tumor with prominent flow voids, a finding that has been seen frequently in these tumors. The tumor was resected following an initial diagnosis of SFT. Postoperative histology indicated a grade III SFT according to the World Health Organization 2021 classification. SFT is often misdiagnosed as meningioma, as they have some imaging features in common. However, we believe that there are some characteristic magnetic resonance imaging features that help to distinguish between these tumors, as well as playing an essential role in SFT grading and potentially guiding the best therapeutic decision.http://www.sciencedirect.com/science/article/pii/S1930043323001711HemangiopericytomaMagnetic resonance imagingRare tumor
spellingShingle Ta Hong Nhung, MD
Vu Le Minh, MD
Ngo-Le Lam, MD
Nguyen Duc Lien, MD
Nguyen Minh Duc, MD
Malignant intracranial solitary fibrous tumor: A case report and literature review
Radiology Case Reports
Hemangiopericytoma
Magnetic resonance imaging
Rare tumor
title Malignant intracranial solitary fibrous tumor: A case report and literature review
title_full Malignant intracranial solitary fibrous tumor: A case report and literature review
title_fullStr Malignant intracranial solitary fibrous tumor: A case report and literature review
title_full_unstemmed Malignant intracranial solitary fibrous tumor: A case report and literature review
title_short Malignant intracranial solitary fibrous tumor: A case report and literature review
title_sort malignant intracranial solitary fibrous tumor a case report and literature review
topic Hemangiopericytoma
Magnetic resonance imaging
Rare tumor
url http://www.sciencedirect.com/science/article/pii/S1930043323001711
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