Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Mar 9;7(6):20210058.
doi: 10.1259/bjrcr.20210058. eCollection 2022 Mar.

Cervical solitary fibrous tumor: case report and literature review

Camilla Akemi Felizardo Yamada, Eduardo de Oliveira Narvaez  1 , Vitor Nagai Yamaki  2 , Robert Zawadzki Pfann  2 , Iuri Santana Neville, Lázaro Luís Faria do Amaral  1
Affiliations
Case Reports

Cervical solitary fibrous tumor: case report and literature review

Camilla Akemi Felizardo Yamada et al. BJR Case Rep. .

Abstract

Solitary fibrous tumors (SFTs) are rare neoplasms in the spinal canal. There are few studies addressing SFT/hemangiopericytomas with no distinctive clinical characteristics, no conclusive radiological findings or even a well-defined best treatment strategy. We described a rare case of cervical SFT/hemangiopericytomas in a young patient with spinal cord compression. There are many differential diagnoses for spinal dural-based masses of which meningiomas are the most common. Surgeons and oncologists should be aware of differentials of dural-based masses in the spinal cord for surgical decision making and to guide treatment.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Conventional sagittal MRI images show an intradural and extramedullary lesion (white arrows) with an isointense signal on T1WI (A) and low signal on T2WI (B, D) with nodular enhancement and dural base post-godilinium (C, F, G) located in the dorsal and median line of the cervical spinal canal, at the C6–C7 vertebral level. Note the dorsal spinal cord compression and severe canal narrowing, accompanied by pial engorgement and myeloedema (asterisk), extended to thoracic levels (Figures B and E).
Figure 2.
Figure 2.
Intraoperative microscopic view showing complete resection of the lesion - SFT/HPC. HPC, hemangiopericytoma;SFT, Solitary fibrous tumor
Figure 3.
Figure 3.
Conventional sagittal MRI images on T2WI (A, B) and T1WI fat suppression post-gadolinium (C, D) post-operative with broad laminectomies in C5–C7 and small surgical cavity in the posterior aspect of the lower cervical spinal cord (C6–C7) (white arrows).
Figure 4.
Figure 4.
Histologic findings. (A) The hematoxylin-eosin stain was demonstrating hypercellular areas and prominent interspersed vessels. (B, C) Immunohistochemically staining showing increased mitotic figures and areas of collagen deposition. (D) Positive CD34 staining. (E) Diffuse nuclear positivity for STAT6 staining.
Figure 5.
Figure 5.
Flow diagram of search strategy and study selection.
See this image and copyright information in PMC

References

    1. Carneiro SS, Scheithauer BW, Nascimento AG, Hirose T, Davis DH. Solitary Fibrous Tumor of the Meninges: A Lesion Distinct From Fibrous Meningioma: A Clinicopathologic and Immunohistochemical Study. Am J Clin Pathol 1996; 106: 217–24. doi: 10.1093/ajcp/106.2.217 - DOI - PubMed
    1. Metellus P, Bouvier C, Guyotat J, et al. . Solitary fibrous tumors of the central nervous system: clinicopathological and therapeutic considerations of 18 cases. Neurosurgery 2007; 60: 715–22. - PubMed
    1. Das A, Singh PK, Suri V, Sable MN, Sharma BS. Spinal hemangiopericytoma: an institutional experience and review of literature. Eur Spine J 2015; 24(S4): 606–13. doi: 10.1007/s00586-015-3789-1 - DOI - PubMed
    1. Wang J, Zhao K, Han L, Jiao L, Liu W, Xu Y, et al. . Solitary fibrous Tumor/Hemangiopericytoma of spinal cord: a retrospective single-center study of 16 cases. World Neurosurg 2019; 123: e629–38. doi: 10.1016/j.wneu.2018.12.004 - DOI - PubMed
    1. Koeller KK, Shih RY. Intradural extramedullary spinal neoplasms: Radiologic-Pathologic correlation. RadioGraphics 2019; 39: 468–90. doi: 10.1148/rg.2019180200 - DOI - PubMed

Publication types