Background: Solitary fibrous tumour (SFT) is a rare
mesenchymal neoplasm of fibroblastic differentiation, characterised by
unpredictable biological behaviour. While SFTs are most commonly present in the
fifth and sixth decades of life, they are frequently diagnosed incidentally.
Aim: This study aims to report and describe a rare case of a
solitary fibrous tumour (SFT) involving the prostate/pelvic region,
highlighting its clinical presentation, diagnostic process, surgical
management, and patient outcome.
Case Presentation: A 57-year-old gentleman presented with
lower abdominal pain and difficulty in passing urine for six months, and the
examination revealed a suprapubic hard mass, which was bimanually palpable. A
guided core biopsy from the prostate revealed a high-grade spindle cell
neoplasm. The patient subsequently underwent resection of the pelvic tumour
along with prostatectomy and permanent suprapubic cystostomy. Postoperative
histology confirmed the preoperative diagnosis, and the patient completed
adjuvant radiotherapy. He has been disease-free for the last 30 months.
Conclusion: SFTs typically arise from the pleura and are
often pedunculated, representing about 30% of cases; other commonly affected
areas include the meninges (27%), the abdominal cavity (20%), the trunk (10%),
the extremities (8%), and the head and neck (5%). Due to their nonspecific
clinical presentation, SFTs can be difficult to diagnose, but they are
treatable when detected early. Surgical management of SFTs is similar to that
of most soft tissue sarcomas, with a goal of wide resection margins and
preservation of any critical surrounding organs. It is highly variable based on
the location and involved structures. A multidisciplinary team approach with
surgeons experienced in sarcoma surgery is recommended for the treatment and
management of these tumours.
Author(s) Details
Ravisankar
Palaniappan
Department of General Surgery, Division of Surgical Oncology, Sri
Venkateshwaraa Medical College Hospital & Research Centre, Puducherry,
605102, India.
S. Narmadha
Department of General Surgery, Sri Venkateshwaraa Medical College Hospital
& Research Centre, Puducherry, 605102, India.
M. Appumathi
Rogarajan
Surgical Oncologist, ASM Cancer and Skin Clinic, Mayiladuthurai, Tamil
Nadu, India.
Yojitha Sharatha
Dalapathy Sankar
Kauvery Medical Centre, Trichy, Tamil Nadu, India.
Please see the book here :- https://doi.org/10.9734/bpi/msup/v6/6661
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