Preservation of vision through an interdisciplinary approach: a case report of intraorbital malignant solitary fibrous tumor
, 3, 12, 4, 12, 4
Abstract
A 70-year-old female with a history of subtotal surgical resection of malignant solitary fibrous tumor (SFT) located in the lateral intraconal compartment of the right orbit was referred to the Oncology Team. The patient underwent surgical treatment with adjuvant radiotherapy of the right orbit. No major complications and no new neurological deficits related to radiotherapy were observed during the 4.5 years of follow-up. The discussed case is an essential source of knowledge for the medical community, demonstrating successful interdisciplinary collaboration involving surgery and high-dose radiotherapy of intraorbital malignant solitary fibrous tumors, particularly for optic nerve protection.
Keywords: solitary fibrous tumourinterdisciplinary approachcase report
References
- Klemperer P, Rabin CB. Primary neoplasm of the pleura: a report of five cases. Arch Pathol. 1931; 11: 385–412.
- Westra WH, Gerald WL, Rosai J. Solitary fibrous tumor. Consistent CD34 immunoreactivity and occurrence in the orbit. Am J Surg Pathol. 1994; 18(10): 992–998.
- Cereno R, Cañal J, Ranche F. Possible role of radiotherapy in the management of orbital solitary fibrous tumors. Precision Radiation Oncology. 2020; 4(4): 120–124.
- Cardillo G, Carbone L, Carleo F, et al. Solitary fibrous tumors of the pleura: an analysis of 110 patients treated in a single institution. Ann Thorac Surg. 2009; 88(5): 1632–1637.
- Jha N, McNeese M, Barkley HT, et al. Does radiotherapy have a role in hemangiopericytoma management? Report of 14 new cases and a review of the literature. Int J Radiat Oncol Biol Phys. 1987; 13(9): 1399–1402.
- Mira J, Chu F, Fortner J. The role of radiotherapy in the management of malignant hemangiopericytoma.Report of eleven new cases and review of the literature. Cancer. 1977; 39(3): 1254–1259, doi: 10.1002/1097-0142(197703)39:3<1254::aid-cncr2820390335>3.0.co;2-j.
- Salas S, Resseguier N, Blay JY, et al. Prediction of local and metastatic recurrence in solitary fibrous tumor: construction of a risk calculator in a multicenter cohort from the French Sarcoma Group (FSG) database. Ann Oncol. 2017; 28(8): 1979–1987.
- Wushou A, Jiang YZ, Liu YR, et al. The demographic features, clinicopathologic characteristics, treatment outcome and disease-specific prognostic factors of solitary fibrous tumor: a population-based analysis. Oncotarget. 2015; 6(39): 41875–41883.
- Wushou A, Miao XC, Shao ZM. Treatment outcome and prognostic factors of head and neck hemangiopericytoma: meta-analysis. Head Neck. 2015; 37(11): 1685–1690.
- Krengli M, Cena T, Zilli T, et al. Radiotherapy in the treatment of extracranial hemangiopericytoma/solitary fibrous tumor: Study from the Rare Cancer Network. Radiother Oncol. 2020; 144: 114–120.
- Espat NJ, Lewis JJ, Leung D, et al. Conventional hemangiopericytoma: modern analysis of outcome. Cancer. 2002; 95(8): 1746–1751.
- Duval M, Hwang E, Kilty SJ. Systematic review of treatment and prognosis of sinonasal hemangiopericytoma. Head Neck. 2013; 35(8): 1205–1210.
- Galiè M, Tieghi R, Cavazzini L, et al. Solitary fibrous tumor of the orbit: a case report. Int J Oral Maxillofac Surg. 2005; 34(3): 331–333.