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Hasegawa O, Watanabe M, Kono M, Yunaiyama D, Chikazu D. Preoperative transarterial embolization for solitary fibrous tumor of the tongue: A case report. Mol Clin Oncol 2021; 14:55. [PMID: 33604045 PMCID: PMC7849066 DOI: 10.3892/mco.2021.2217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 10/27/2020] [Indexed: 11/06/2022] Open
Abstract
Solitary fibrous tumors (SFTs) are derived from mesenchymal cells originating mainly from the pleura. Reports of bleeding SFTs in head and neck regions are rare. A number of reports have focused on tongue SFT treatments, but to the best of our knowledge, there are no reports on the usefulness of preoperative arterial embolization. Intraoperative and postoperative bleeding can also lead to airway problems. To avoid unnecessary tracheostomy and ligation of the external carotid artery, preoperative vascular embolism should be considered while removing large tumors or tumors with high blood flow. The current report outlines a case of a 32-year-old woman with a tongue solitary fibrous tumor, who underwent right lingual artery embolization with 300-500 and 500-700 µm embosphere microspheres through a vascular catheter the day before surgical resection. The encapsulated tumor was completely excised under general anesthesia with little to no bleeding during the operation.
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Affiliation(s)
- On Hasegawa
- Department of Oral and Maxillofacial Surgery, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan
| | - Masato Watanabe
- Department of Oral and Maxillofacial Surgery, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan
| | - Michihide Kono
- Department of Oral and Maxillofacial Surgery, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan
| | - Daisuke Yunaiyama
- Department of Radiology, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan
| | - Daichi Chikazu
- Department of Oral and Maxillofacial Surgery, Tokyo Medical University, Shinjyuku-ku, Tokyo 160-0023, Japan
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Sakurai K, Nakamori K, Yamazaki M, Tanuma JI. An ectomesenchymal chondromyxoid tumour on the lateral border of the tongue. Int J Oral Maxillofac Surg 2020; 49:1290-1293. [PMID: 32371177 DOI: 10.1016/j.ijom.2020.04.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Revised: 03/04/2020] [Accepted: 04/16/2020] [Indexed: 11/25/2022]
Abstract
Ectomesenchymal chondromyxoid tumour (ECT) is an extremely rare intraoral mesenchymal tumour. Most of these tumours have been identified on the anterior aspect of the dorsal surface of the tongue. ECT is difficult to diagnose because of its rarity. We report a case of ECT arising on the lateral border of the tongue in a 67-year-old woman. The tumour, measuring 20 × 10 mm in size, was surgically removed. Histopathologically, the tumour was composed of small polygonal cells arranged in sheets, with a myxoid or hyalinized stroma. The tumour boundary was clear; however, the tumour showed a multinodular structure expanding along the tongue surface without obvious capsule. Careful examination revealed the tumour nodule to be spreading in a skip lesion-like fashion away from the main part of the tumour in the striated muscle layer. Although there was no evidence of recurrence at 18 months after the surgery, our observations suggest that surgery for ECT resection with a safety margin is more appropriate than enucleation.
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Affiliation(s)
- K Sakurai
- Department of Oral and Maxillofacial Surgery, Regional Independent Administrative Corporation Naha City Hospital, Naha, Okinawa, Japan.
| | - K Nakamori
- Department of Oral and Maxillofacial Surgery, Regional Independent Administrative Corporation Naha City Hospital, Naha, Okinawa, Japan
| | - M Yamazaki
- Division of Oral Pathology, Faculty of Dentistry and Graduate School of Medical and Dental science, Niigata University, Niigata, Japan
| | - J-I Tanuma
- Division of Oral Pathology, Faculty of Dentistry and Graduate School of Medical and Dental science, Niigata University, Niigata, Japan
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Solitary Fibrous Tumor of the Dorsal Tongue Area. Indian J Otolaryngol Head Neck Surg 2019; 71:759-761. [PMID: 31742059 DOI: 10.1007/s12070-018-1538-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2018] [Accepted: 11/13/2018] [Indexed: 10/27/2022] Open
Abstract
Solitary fibrous tumor (SFT) is a rare tumor occurring in pleura or extrapleural areas. The tongue is infrequently affected, in less than 25 published cases. A female patient, 35 years of age, noticed an oval mass in the posterior dorsal part of the tongue. The operated mass was nodule, 10 mm in size, sharply circumscribed, rather firm. The histology shows uniform CD34 positive spindle tumor cells. The diagnosis of benign SFT of the tongue was made.
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Nunes FB, Sant'Ana MSP, Silva AMB, Agostini M, Silva Canedo NH, Andrade BAB, Romañach MJ, Corrêa DL, Tomasi RA, Radhakrishnan R, Gomez RS, Sousa SF, Brennan PA, Fonseca FP. Solitary fibrous tumour of the oral cavity: An update. J Oral Pathol Med 2019; 49:14-20. [DOI: 10.1111/jop.12953] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Accepted: 08/16/2019] [Indexed: 12/20/2022]
Affiliation(s)
- Fernanda Bispo Nunes
- Department of Oral Surgery and Pathology School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Maria Sissa Pereira Sant'Ana
- Department of Oral Surgery and Pathology School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil
| | - André Myller Barbosa Silva
- Department of Oral Surgery and Pathology School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Michelle Agostini
- Department of Oral Diagnosis and Pathology School of Dentistry Federal University of Rio de Janeiro Rio de Janeiro Brazil
| | | | | | - Mário José Romañach
- Department of Oral Diagnosis and Pathology School of Dentistry Federal University of Rio de Janeiro Rio de Janeiro Brazil
| | | | - Ramiro Alejandro Tomasi
- Department of Oral Pathology Dental School Universidad Nacional de Córdoba Córdoba Argentina
| | - Raghu Radhakrishnan
- Department of Oral Pathology Manipal College of Dental Sciences Manipal Academy of Higher Education (MAHE) Manipal India
| | - Ricardo Santiago Gomez
- Department of Oral Surgery and Pathology School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Silvia Ferreira Sousa
- Department of Oral Surgery and Pathology School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil
| | - Peter A. Brennan
- Department of Oral and Maxillofacial Surgery Queen Alexandra Hospital Portsmouth UK
| | - Felipe Paiva Fonseca
- Department of Oral Surgery and Pathology School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte Brazil
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Solitary fibrous tumour of the tongue: a series of four cases. The Journal of Laryngology & Otology 2017; 131:838-841. [DOI: 10.1017/s0022215117001396] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractBackground:Solitary fibrous tumour is a soft tissue tumour of mesenchymal origin. It was first described in the pleura and has since been reported in many anatomical locations. Thirteen cases in the tongue have hitherto been reported. A positive CD34 result has traditionally been used to confirm the diagnosis, although this is often non-specific to solitary fibrous tumour. To date, nuclear STAT6 expression has not been reported in solitary fibrous tumour of the tongue.Method:This paper presents a further four cases of solitary fibrous tumour of the tongue, the largest series to date. Clinical, histopathological and immunohistochemical findings are detailed, including nuclear STAT6 expression.Results:All four cases were positive for CD34; two cases showed nuclear expression of STAT6. The tumours were excised completely and there have been no recurrences in at least one year.Conclusion:Solitary fibrous tumour should be considered as a differential diagnosis for tongue swellings, with the potential to recur.
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Shirley BM, Kang DR, Sakamoto AH. Malignant Solitary Fibrous Tumor of the Scalp. J Maxillofac Oral Surg 2016; 15:245-8. [PMID: 27408445 DOI: 10.1007/s12663-015-0759-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2014] [Accepted: 02/16/2015] [Indexed: 01/21/2023] Open
Abstract
Solitary fibrous tumors are an uncommon slow growing benign neoplasm originally described as a pleural neoplasm but can also be found in the lung, mediastinum, peritoneum, or any other sites including the head and neck. Malignant solitary fibrous tumors (MSFT) are extremely rare and only few cases have been published in the literature. There have been 19 cases reported of MSFT in the head and neck, but there are no reports of MSFT located within the scalp in the English language literature. We present a case of MSFT arising in the scalp and describe our experience with the clinical presentation, surgical management, and outcome in this pathological condition.
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Affiliation(s)
- Brett M Shirley
- Oral and Maxillofacial Surgery Division, Department of Surgery, Parkland Memorial Hospital, University of Texas Southwestern Medical Center at Dallas, Dallas, TX USA ; Oral and Maxillofacial Surgery Department, John Peter Smith Hospital, 1500 S Main, Fort Worth, TX 76104 USA
| | - David R Kang
- Department of Oral and Maxillofacial Surgery, Texas A&M University Baylor College of Dentistry, Dallas, TX USA ; Department of Surgery, Division of Surgical Oncology, Baylor University Medical Center, 3302 Gaston Ave, Dallas, TX 75246 USA
| | - Aya Hamao Sakamoto
- Oral and Maxillofacial Surgery Division, Department of Surgery, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas, TX 75390-9109 USA
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[Tumor in the soft tissues of the cheek]. HNO 2015; 63:132-4. [PMID: 25630698 DOI: 10.1007/s00106-014-2956-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Li XM, Yu JQ, Xu GH. Solitary fibrous tumor of the soft palate: A report of two cases. Oncol Lett 2014; 7:1975-1977. [PMID: 24932272 PMCID: PMC4049756 DOI: 10.3892/ol.2014.1977] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2013] [Accepted: 03/06/2014] [Indexed: 02/05/2023] Open
Abstract
Solitary fibrous tumors (SFTs) are a unique group of mesenchymal neoplasms of fibroblastic or myofibroblastic origin and are extremely rare in the oral cavity. The present study reported two additional cases of SFTs in the soft palate, along with the computed tomography characteristics, which demonstrated well-circumscribed soft tissue lesions with marked and homogenous enhancement. Following wide resection, one of the cases showed certain malignant pathological characteristics, including infiltration of mucinous gland, hypercellularity, nuclear atypia and weak positive staining for S-100. In our experience, SFTs should be considered as a differential diagnosis when a well-circumscribed and solid mass in the soft palate is identified.
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Affiliation(s)
- Xue-Ming Li
- Department of Radiology, Sichuan Cancer Hospital and Institute, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - Jian-Qun Yu
- Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China
| | - Guo-Hui Xu
- Department of Radiology, Sichuan Cancer Hospital and Institute, Sichuan University, Chengdu, Sichuan 610041, P.R. China
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Migita M, Yoshino M, Kobayashi D, Shiomi S, Enatsu K, Shigematsu S, Ohata H. A Large Solitary Fibrous Tumor of the Tongue. J Oral Maxillofac Surg 2012; 70:871-4. [DOI: 10.1016/j.joms.2011.04.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2011] [Revised: 04/08/2011] [Accepted: 04/12/2011] [Indexed: 10/18/2022]
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