An abdominal-sacral approach with preoperative embolisation for vulvar solitary fibrous tumour: a case report

World Journal of Surgical Oncology

Suzuko Moritani¹  Ryo Kasei²  Takashi Murakami²  Fumi Yoshino²  Akimasa Takahashi²  Hiroki Nishimura²  Mari Deguchi²  Fuminori Kimura²  Tsukuru Amano² 

[1] Department of Clinical Laboratory Medicine, Shiga University of Medical Science, Kusatsu, Japan;Department of Obstetrics and Gynecology, Shiga University of Medical Science, Setatsukinowa-cho, 520-2192, Otsu, Shiga, Japan;

关键词: Solitary fibrous tumour;    Vulvar;    Abdominal-sacral approach;    Embolisation;    Case report;   

DOI  :  10.1186/s12957-021-02206-5

来源: Springer

【 摘 要 】

BackgroundSolitary fibrous tumours (SFTs) in the female genital tract are uncommon. Resection of these tumours is controversial because it can cause life-threatening haemorrhage. We report a case of vulvar SFT that was excised in a combined abdominal-sacral approach after preoperative embolisation.Case presentationAt another hospital, an inoperable intrapelvic tumour was diagnosed in a 34-year-old woman. Computed tomography and magnetic resonance imaging showed that the uterus, urinary bladder and rectum were compressed laterally by a pelvic tumour with a maximum diameter of 11 cm. This mass was hypervascular and had a well-defined border. Transperineal biopsy was performed, and immunostaining revealed that the mass was an SFT. The tumour was supplied by feeding vessels from the right iliac arteries. First, we embolised the feeding vessels. Second, we performed surgical resection in a combined abdominal-sacral approach; no blood transfusion was necessary, and no perioperative complications occurred. The final pathological diagnosis was SFT that was positive for CD34 and signal transducer and activator of transcription 6 according to immunohistochemical staining.ConclusionDuring a year of follow-up, the disease did not recur. Treatment of pelvic SFT should aim at complete resection through various approaches after careful measures are taken to prevent haemorrhage.

【 授权许可】

CC BY