Head and Neck Imaging

Imaging Diagnosis and Analysis for Solitary Fibrous Tumor

Author:PENG Shi

affiliation:Department of Radiology, The Affiliated Tumor Hospital of Xiangya Medical School Central South University, Changsha 410083, Hunan Province, China

PDF

Abstract

Objective To summarize and analyze the imaging findings of solitary fibrous tumor in different anatomic locations and further to improve the imaging understanding for this disease. Methods A total of 18 cases (17 underwent enhanced and non-enhanced CT scan,1 with enhanced and non-enhanced MR scan) with solitary fibrous tumor confirmed by pathology and immunohistochemistry technique were retrospectively analyzed ,which included the clinical material and imaging findings. Those tumors were originated from different anatomic locations. Results 5 out of 18 solitary tumors originated from pleura,2 from kidney, the remaining 11 were originated from brain, parotid, parapharyngeal space, intermuscular space in neck and shoulder, lung, liver, anterior mediastinum, jejunum, retroperitoneal space, pelvis, round ligament of uterus respectively, which manifest as well-defined lobular solid mass with obvious heterogeneous enhancement. In those tumors, the largest maximum diameter was 13cm.All tumor were confirmed to be benign except one was malignant combined with multiple lung metastasis. Conclusion Solitary fibrous tumor can occur in different anatomic locations besides the pleura. When a tumor presenting as large lobular well-defined solitary tumor with heterogeneous attenuation/intensity especially show obvious enhancement, solitary fibrous tumor should be considered.

【Keyword】Solitary Fibrous Tumor; Computed Tomography; X-Ray; Magnetic Resonance Imaging

【Chart number】R734;R814.42

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2016.08.006