Giant solitary fibrous tumor of the pelvis successfully treated with preoperative embolization and surgical resection: a case report

World Journal of Surgical Oncology

Toshiaki Watanabe¹  Joji Kitayama¹  Eiji Sunami¹  Soichiro Ishihara¹  Hironori Yamaguchi¹  Takamitsu Kanazawa¹  Keisuke Hata¹  Yuichiro Yokoyama¹ 

[1] Division of Surgical Oncology, Department of Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku 113-8655, Tokyo, Japan

关键词: Pelvis;    Embolization;    Solitary fibrous tumor;   

Others  :  1181826
DOI  :  10.1186/s12957-015-0578-6

 received in 2015-02-17, accepted in 2015-04-06,  发布年份 2015

【 摘 要 】

Solitary fibrous tumors (SFTs) rarely develop in the pelvis. When they do arise, they are usually treated using surgery, although SFTs are often very large by the time of diagnosis, which makes surgical excision difficult. We report a case of a 63-year-old man who was referred to our hospital for the treatment of a giant tumor of the pelvis. Computed tomography (CT) revealed a 30 × 25 × 19 cm sized hypervascular tumor that almost completely filled the pelvic cavity. The diagnosis of SFT was made by CT-assisted needle biopsy. The feeding arteries of the tumor were embolized twice. The first embolization aimed to reduce the tumor volume, while the second one was planned a day prior to the surgery to obtain hematostasis during the operation. Tumor resection was then performed. The blood loss during the operation was 440 ml, and there was no uncontrollable bleeding. The postoperative course was uneventful. No recurrence of SFT was observed during a 2-year follow-up.

【 授权许可】

   
2015 Yokoyama et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

Figure 2.

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