Solitary fibrous tumor located in the sella turcica: A report of two cases and review of the literature

Yang,Xiao; Jiang,Qingjun; Yu,Bingbing

doi:10.3892/ol.2015.3162

Solitary fibrous tumor located in the sella turcica: A report of two cases and review of the literature

Authors:
- Xiao Yang
- Qingjun Jiang
- Bingbing Yu
View Affiliations

Affiliations: Department of Medical Imaging, Jinan Military General Hospital, Jinan, Shandong 250031, P.R. China
Published online on: April 29, 2015 https://doi.org/10.3892/ol.2015.3162
Pages: 354-358

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

Solitary fibrous tumors (SFTs) of the sella turcica are rare entities, with only four cases reported in the literature thus far. The current study describes two cases of SFT arising from the sella turcica, including presentation of the clinical, imaging and histopathological findings, and the initial treatment strategies and diagnosis, with emphasis on the treatment of the tumor in this unusual location. Magnetic resonance imaging is a useful method for identifying a solid or heterogeneous mass; however, histopathological and immunohistochemical data are required to clarify such diagnoses. The majority of SFTs exhibit clinically benign behavior and have a positive outcome; however, certain SFTs may present malignant features. Although gross total resection of SFTs in the sella turcica is important, subtotal resection with subsequent stereotactic radiotherapy is proposed as an acceptable alternative. Furthermore, careful and long‑term follow‑up of patients with SFT of the sella turcica is required as the clinical outcome is unpredictable.

View Figures

View References

1	Caroli E, Salvati M, Orlando ER, Lenzi J, Santoro A and Giangaspero F: Solitary fibrous tumors of the meninges: report of four cases and literature review. Neurosurg Rev. 27:246–251. 2004.PubMed/NCBI
2	Metellus P, Bouvier C, Guyotat J, Fuentes S, Jouvet A, Vasiljevic A, Giorgi R, Dufour H, Grisoli F and Figarella-Branger D: Solitary fibrous tumors of the central nervous system: clinicopathological and therapeutic considerations of 18 cases. Neurosurgery. 60:715–722. 2007.PubMed/NCBI
3	Nai GA, Ramalho N and eto GC: Solitary fibrous tumor of the nasal cavity. Braz J Otorhinolaryngol. 75:7692009. View Article : Google Scholar : PubMed/NCBI
4	Sun K, Lu JJ, Teng XD, Ying LX and Wei JF: Solitary fibrous tumor of the liver: a case report. World J Surg Oncol. 9:372011. View Article : Google Scholar : PubMed/NCBI
5	Wignall OJ, Moskovic EC, Thway K and Thomas JM: Solitary fibrous tumors of the soft tissues: review of the imaging and clinical features with histopathologic correlation. AJR Am J Roentgenol. 195:W55–W62. 2010. View Article : Google Scholar : PubMed/NCBI
6	Cassarino DS, Auerbach A and Rushing EJ: Widely invasive solitary fibrous tumor of the sphenoid sinus, cavernous sinus, and pituitary fossa. Ann Diagn Pathol. 7:169–173. 2003. View Article : Google Scholar : PubMed/NCBI
7	Kim SA, Hwang JE, Ro JY, Cho KJ, Song C and Kim MJ: Solitary fibrous tumor of the kidney: A report of two cases with review of literature. Korean J Pathol. 44:420–425. 2010. View Article : Google Scholar
8	Talvitie H, Aström K, Larsson O, Ahlén J, Bergh A and Egevad L: Solitary fibrous tumor of the prostate: a report of two cases. Pathol Int. 61:536–538. 2011. View Article : Google Scholar : PubMed/NCBI
9	Cardillo G, Carbone L, Carleo F, Masala N, Graziano P, Bray A and Martelli M: Solitary fibrous tumors of the pleura: An analysis of 110 patients treated in a single institution. Ann Thorac Surg. 88:1632–1637. 2009. View Article : Google Scholar : PubMed/NCBI
10	Ning S, Song X, Xiang L, Chen Y, Cheng Y and Chen H: Malignant solitary fibrous tumor of the thyroid gland: report of a case and review of the literature. Diagn Cytopathol. 39:694–699. 2011. View Article : Google Scholar : PubMed/NCBI
11	Ikeda T, Wada N, Nomura M, Tamiya S and Ushijima M: A case of solitary fibrous malignant tumor with multiple metastases. Nihon Kokyuki Gakkai Zasshi. 49:913–916. 2011.(In Japanese). PubMed/NCBI
12	Furlanetto TW, Pinheiro CF, Oppitz PP, de Alencastro LC and Asa SL: Solitary fibrous tumor of the sella mimicking pituitary adenoma: an uncommon tumor in a rare location - a case report. Endocr Pathol. 20:56–61. 2009. View Article : Google Scholar : PubMed/NCBI
13	Pakasa NM, Pasquier B, Chambonnière ML, Morrison AL, Khaddage A, Perret AG, Dumollard JM, Barral FG and Péoc'h M: Atypical presentations of solitary fibrous tumors of the central nervous system: an analysis of unusual clinicopathological and outcome patterns in three new cases with a review of the literature. Virchows Arch. 447:81–86. 2005. View Article : Google Scholar : PubMed/NCBI
14	Yin W, Ma C, Wu J, Cai B and You C: A primary atypical solitary fibrous tumor of the sella mimicking nonfunctional pituitary adenoma: a case report. Acta Neurochir (Wien). 152:519–522. 2010. View Article : Google Scholar : PubMed/NCBI
15	Rupp D and Molitch M: Pituitary stalk lesions. Curr Opin Endocrinol Diabetes Obes. 15:339–345. 2008. View Article : Google Scholar : PubMed/NCBI
16	Vassal F, Manet R, Forest F, Camdessanche JP, Péoc'h M and Nuti C: Solitary fibrous tumors of the central nervous system: report of five cases with unusual clinicopathological and outcome patterns. Acta Neurochir (Wien). 153:377–384. 2011. View Article : Google Scholar : PubMed/NCBI
17	Bisceglia M, Galliani C, Giannatempo G, Lauriola W, Bianco M, D'Angelo V, Pizzolitto S, Vita G, Pasquinelli G, Magro G and Dor DB: Solitary fibrous tumor of the central nervous system: a 15-year literature survey of 220 cases (August 1996-July 2011). Adv Anat Pathol. 18:356–392. 2011. View Article : Google Scholar : PubMed/NCBI
18	Saynak M, Bayir-Angin G, Kocak Z, Oz-Puyan F, Hayar M, Cosar-Alas R, Karamustafaoglu A, Yurut-Caloglu V, Caloglu M and Yoruk Y: Recurrent solitary fibrous tumor of the pleura: significant response to radiotherapy. Med Oncol. 27:45–48. 2010. View Article : Google Scholar : PubMed/NCBI
19	Reames DL, Mohila CA and Sheehan JP: Treatment of intracranial solitary fibrous tumors with gamma knife radiosurgery: report of two cases and review of literature. Neurosurgery. 69:E1023–E1028. 2011. View Article : Google Scholar : PubMed/NCBI