Unusual Presentation of Solitary Fibrous Tumour Prostate: A Case Report | Chapter 11 | Medical Science: Updates and Prospects Vol. 6

 

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

Critical Observation on Pancreatic Lymphoepithelial Cyst: An Atypical Benign Pancreatic Tumour | Chapter 2 | Research Trends and Challenges in Medical Science Vol.4

Introduction: Pancreatic lymphoepithelial cyst is a rare benign lesion that usually presents itself as an incidental radiological finding. Symptoms mayinclude abdominal pain, weight loss, nausea or compression of adjacent structures. The differential diagnosis includes most of the pancreatic cystic lesions, even benign or malignant tumours. In most cases, for the final diagnosis, fine needle aspiration or surgery can be required.  Case Report: We report a case of a giant pancreatic lymphoepithelial cyst in a 43-year-old man with abdominal pain and weight loss. In this case, radical surgery wasconsidered a too difficult procedure and due to benignity of the tumour, conservative resection was elected.  Conclusion: Surgery can be the final diagnosis test in case of pancreatic lymphoepithelial cyst due to diagnostic uncertainty. Conservative resection can be a good option in case of complex resection, with a low rate of postoperative complications and without risk of tumoural degeneration.

Author(s) Details

Mario Serradilla Martín,
Department of Surgery, Miguel Servet University Hospital, Zaragoza, Spain

José Manuel Ramia Ángel,
Department of Surgery, University Hospital of Guadalajara, Guadalajara, Spain.

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