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Argirò R, Ciccarese G, Vattermoli L, Crociati S, Iannibelli V, Forte V, Morosetti D, Floris R. Combined treatments with microballoon catheters and multiple cryoablation probes for shoulder-subclavian soft tissue hemangiopericytoma: A case report. Radiol Case Rep 2023; 18:3346-3350. [PMID: 37520395 PMCID: PMC10372045 DOI: 10.1016/j.radcr.2023.06.063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Revised: 06/26/2023] [Accepted: 06/27/2023] [Indexed: 08/01/2023] Open
Abstract
We describe a case of a 65-year-old woman affected by hemangiopericytoma/solitary fibrous tumor of the right shoulder-subclavian region. Hemangiopericytoma/solitary fibrous tumor is a rare tumor of uncertain malignancy. She reports shoulder pain and inability to abduct the arm and elevate the shoulder. Imaging showed erosion of the scapula. The patient underwent 5 sessions of "on demand" embolization in the previous 2 years scheduled for recurrence of symptoms-swelling of tissues. Further 2 treatments were achieved through embolization via 2 different microballoon catheter combined with percutaneous cryoablation with 5 probes. Images after the treatment demonstrate a marked reduction in the hypervascularized area and an increase in the necrosis area. So, this combined treatment is safety and reproducible also in extrahepatic tissue.
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Affiliation(s)
- Renato Argirò
- Interventional Radiology Unit, Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Viale Oxford 81, Rome, 00133, Italy
| | - Giorgio Ciccarese
- Diagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Oxford 81, Rome, 00133, Italy
| | - Leonardo Vattermoli
- Diagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Oxford 81, Rome, 00133, Italy
| | - Sara Crociati
- Diagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Oxford 81, Rome, 00133, Italy
| | - Vincenzo Iannibelli
- Diagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Oxford 81, Rome, 00133, Italy
| | - Valentina Forte
- Diagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Oxford 81, Rome, 00133, Italy
| | - Daniele Morosetti
- Interventional Radiology Unit, Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Viale Oxford 81, Rome, 00133, Italy
| | - Roberto Floris
- Diagnostic Imaging Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Viale Oxford 81, Rome, 00133, Italy
- Neuroradiology Unit, Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Viale Oxford 81, Rome, 00133, Italy
- Neurology Unit, Department of Neurology, University of Rome Tor Vergata, Viale Oxford 81, Rome, 00133, Italy
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Jain DK, Pandey H, Saini S, Patne S. Large Solitary Fibrous Tumor (SFT) of the penis- a case report and review of literature. BMC Urol 2023; 23:131. [PMID: 37533000 PMCID: PMC10399031 DOI: 10.1186/s12894-023-01302-w] [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: 10/11/2022] [Accepted: 07/20/2023] [Indexed: 08/04/2023] Open
Abstract
BACKGROUND Solitary fibrous tumors (SFTs) are very rare spindle cell neoplasms of mesenchymal origin with largely benign course of disease. Genital SFT's can be managed providing excellent functional and psychological outcomes by timely intervention. CASE PRESENTATION We report the largest and possibly the second only reported case of penile SFT in a 34 year male presenting with a gradually increasing perineal mass with clinically normal appearing phallus. MRI revealed a 9.8 × 3.2 cm soft tissue mass arising from left corpora cavernosae, the mass was excised en-bloc via a perineal approach under spinal anaesthesia. Histopathology revealed spindle cell tumor embedded in myxohyaline stroma along with hyalinized vascular channels demonstrating IHC positivity for CD34 and STAT6. The patient is disease free post 2 years of resection with no sexual or urinary dysfunctions. CONCLUSION Genital SFTs, although rare, should be considered in the differential diagnosis of well-circumscribed, painless, slow growing solid masses and histopathologists must be vigilant of its malignant characteristics.
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Affiliation(s)
- Deep Kumar Jain
- Uro-Oncology Division, Department of Surgical Oncology, Mahamana Pandit Madan Mohan Malviya Cancer Centre (MPMMCC) & Homi Bhabha Cancer Hospital (HBCH), Varanasi, India.
| | - Himanshu Pandey
- Uro-Oncology Division, Department of Surgical Oncology, Mahamana Pandit Madan Mohan Malviya Cancer Centre (MPMMCC) & Homi Bhabha Cancer Hospital (HBCH), Varanasi, India
| | - Sashank Saini
- Uro-Oncology Division, Department of Surgical Oncology, Mahamana Pandit Madan Mohan Malviya Cancer Centre (MPMMCC) & Homi Bhabha Cancer Hospital (HBCH), Varanasi, India
| | - Sashikant Patne
- Department of Pathology, Mahamana Pandit Madan Mohan Malviya Cancer Centre (MPMMCC) & Homi Bhabha Cancer Hospital (HBCH), Varanasi, India
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Drobyazgin EA, Kutepov EV, Kutepov AV, Abdrakhmanov SV. [Treatment of a patient with giant solitary fibrous tumor of the left hip]. Khirurgiia (Mosk) 2021:93-99. [PMID: 34480461 DOI: 10.17116/hirurgia202109193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The authors report surgical treatment of a 59-year-old female with a giant solitary-fibrous tumor of the left hip. Previous excision of hip hemangioma was performed in 2016. Recurrent tumor with fast growth has occurred since 2018. The neoplasm consisted of 2 tumors connected by vascular structures. CT revealed soft tissue neoplasms in the upper third of the left thigh (anterior, medial and dorsal regions). Large tumors with an isthmus along the inner surface had tuberous contours and internal septa. The last ones and walls accumulated contrast agent. No structural damage to femoral muscles was observed. The patient underwent resection of tumor and vascular ligation (great saphenous vein and its tributaries along the anterior surface, arteries from the deep femoral artery system along the posterior surface of tumor). There were no early postoperative complications. There are no complaints within 6 month after surgery. There is no lower limb dysfunction.
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Affiliation(s)
- E A Drobyazgin
- Novosibirsk State Medical University, Novosibirsk, Russia.,Novosibirsk State Regional Clinical Hospital, Novosibirsk, Russia.,Meshalkin National Research Center, Novosibirsk, Russia
| | - E V Kutepov
- Novosibirsk State Regional Clinical Hospital, Novosibirsk, Russia
| | - A V Kutepov
- Novosibirsk State Medical University, Novosibirsk, Russia.,Novosibirsk State Regional Clinical Hospital, Novosibirsk, Russia
| | - S V Abdrakhmanov
- Novosibirsk State Regional Clinical Hospital, Novosibirsk, Russia
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Metaxa L, Suaris TD, Dani S. Vascular chest wall lesion mimicking a breast tumor on screening mammograms: Report of a case. Breast J 2019; 25:1257-1259. [PMID: 31270895 DOI: 10.1111/tbj.13445] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Accepted: 04/02/2019] [Indexed: 11/27/2022]
Abstract
Vascular lesions in the chest wall muscles are extremely rare and can cause diagnostic difficulties on screening mammograms. We describe a case of venous malformation of the pectoralis muscle, diagnosed during routine screening, in a 60-year-old woman. The mammograms showed a mass over the chest wall, projecting in the breast parenchyma. The ultrasound was not diagnostic. The definite diagnosis was made using MRI, and to our knowledge, only 1 similar case has been reported so far, but this is the only asymptomatic case depicted during screening services.
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Hemangiopericytoma of the breast: a case report and a review of the literature. Case Rep Oncol Med 2015; 2015:210643. [PMID: 25688313 PMCID: PMC4320910 DOI: 10.1155/2015/210643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2014] [Accepted: 01/07/2015] [Indexed: 11/17/2022] Open
Abstract
Introduction. Sarcomas of the breast are rare and hemangiopericytoma (HPC) of the breast is even rarer. Case Report. We report a case of a 43-year-old woman who presented with a 4 cm mass in her right breast. Her family history was positive for breast cancer. A fine needle aspiration indicated a malignant vascular tumor. An excision biopsy and frozen section analysis confirmed the presence of an encapsulated mesenchymal tumor. Its morphology and immunohistochemical marker profile were characteristic for a malignant hemangiopericytoma. Thus, she underwent a tumor excision without an axilla sampling. Approximately one year after the surgery the patient is well without local recurrence or metastasis disease to be observed. We also reviewed the literature and discuss the treatment options, characteristics, and immunophenotype of HPC. Conclusions. The accurate diagnosis of HPC depends on the appropriate histological and immunohistochemical examination. Surgical resection is the treatment of choice and due to scarcity of cases and unpredictable biological behavior of these tumors long term follow-up may be warranted.
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Yang LH, Dai SD, Li QC, Xu HT, Jiang GY, Zhang Y, Wang L, Fan CF, Wang EH. Malignant solitary fibrous tumor of breast: a rare case report. INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL PATHOLOGY 2014; 7:4461-4466. [PMID: 25120834 PMCID: PMC4129069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 02/24/2014] [Accepted: 03/26/2014] [Indexed: 06/03/2023]
Abstract
Solitary fibrous tumor (SFT) is rare mesenchymal neoplasm that has been originally and most often documented in the pleura. Recently, the ubiquitous nature of the SFT has been recognized with reports of involvement of numerous sites all over the body such as: upper respiratory tract, somatic tissue, mediastinum, head, and neck. Less than 10 cases SFT of breast have been reported. Herein, we presented a 52-year-old Asian female with SFT of breast, this tumor showed predominant malignant features. To our knowledge, SFT of breast with such malignant evidence is extremely rare.
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Affiliation(s)
- Lian-He Yang
- Department of Pathology, The First Affiliated Hospital and College of Basic Medical Sciences, China Medical UniversityShenyang, China
- Institute of Pathology and Pathophysiology, China Medical UniversityShenyang, China
| | - Shun-Dong Dai
- Department of Pathology, The First Affiliated Hospital and College of Basic Medical Sciences, China Medical UniversityShenyang, China
- Institute of Pathology and Pathophysiology, China Medical UniversityShenyang, China
| | - Qing-Chang Li
- Department of Pathology, The First Affiliated Hospital and College of Basic Medical Sciences, China Medical UniversityShenyang, China
- Institute of Pathology and Pathophysiology, China Medical UniversityShenyang, China
| | - Hong-Tao Xu
- Department of Pathology, The First Affiliated Hospital and College of Basic Medical Sciences, China Medical UniversityShenyang, China
- Institute of Pathology and Pathophysiology, China Medical UniversityShenyang, China
| | - Gui-Yang Jiang
- Department of Pathology, The First Affiliated Hospital and College of Basic Medical Sciences, China Medical UniversityShenyang, China
- Institute of Pathology and Pathophysiology, China Medical UniversityShenyang, China
| | - Yong Zhang
- Department of Pathology, The First Affiliated Hospital and College of Basic Medical Sciences, China Medical UniversityShenyang, China
- Institute of Pathology and Pathophysiology, China Medical UniversityShenyang, China
| | - Liang Wang
- Department of Pathology, The First Affiliated Hospital and College of Basic Medical Sciences, China Medical UniversityShenyang, China
- Institute of Pathology and Pathophysiology, China Medical UniversityShenyang, China
| | - Chui-Feng Fan
- Department of Pathology, The First Affiliated Hospital and College of Basic Medical Sciences, China Medical UniversityShenyang, China
- Institute of Pathology and Pathophysiology, China Medical UniversityShenyang, China
| | - En-Hua Wang
- Department of Pathology, The First Affiliated Hospital and College of Basic Medical Sciences, China Medical UniversityShenyang, China
- Institute of Pathology and Pathophysiology, China Medical UniversityShenyang, China
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