Case Report: Successful Treatment of Solitary Fibrous Tumor with Selective Internal Radiation Therapy (SIRT)

<b>Background</b>: This case report details the innovative use of selective internal radiation therapy (SIRT) with Yttrium-90 resin microspheres to treat a 73-year-old woman with a solitary fibrous tumor (SFT), a rare and challenging tumor type. SFTs often present significant treatment d...

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Main Authors: Omar Badran, Sergey Dereza, Labib Mireb, Ziv Neeman, Gil Bar-Sela
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Diseases
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Online Access:https://www.mdpi.com/2079-9721/12/11/290
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author Omar Badran
Sergey Dereza
Labib Mireb
Ziv Neeman
Gil Bar-Sela
author_facet Omar Badran
Sergey Dereza
Labib Mireb
Ziv Neeman
Gil Bar-Sela
author_sort Omar Badran
collection DOAJ
description <b>Background</b>: This case report details the innovative use of selective internal radiation therapy (SIRT) with Yttrium-90 resin microspheres to treat a 73-year-old woman with a solitary fibrous tumor (SFT), a rare and challenging tumor type. SFTs often present significant treatment difficulties, especially in cases of recurrence or metastasis, as systemic therapies typically show limited effectiveness. This report explores SIRT as an alternative therapeutic approach for SFTs with liver metastasis. <b>Methods</b>: The patient initially presented with a pelvic mass, which was surgically resected. However, metastatic disease later developed in the liver. After experiencing severe side effects from targeted therapy with sunitinib, the patient was selected for treatment with SIRT as an alternative. <b>Results</b>: Following the SIRT intervention, the patient demonstrated a substantial reduction in tumor size and significant relief from symptoms. This outcome suggests SIRT’s effectiveness as a targeted treatment for metastatic SFT. <b>Conclusions</b>: To our knowledge, and based on an extensive literature review, this is the first reported instance of treating SFT with SIRT. This case provides new insights into SIRT’s potential as a therapeutic strategy, particularly for patients for whom conventional treatments are either ineffective or intolerable. The success observed here underscores SIRT’s potential as a less invasive, locally targeted treatment option, offering hope for similar cases.
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spelling doaj-art-11a109fb09b34b11a186dc37b85ea7022025-08-20T01:53:45ZengMDPI AGDiseases2079-97212024-11-01121129010.3390/diseases12110290Case Report: Successful Treatment of Solitary Fibrous Tumor with Selective Internal Radiation Therapy (SIRT)Omar Badran0Sergey Dereza1Labib Mireb2Ziv Neeman3Gil Bar-Sela4Department of Oncology, Emek Medical Center, Yitzhak Rabin Boulevard 21, Afula 1834111, IsraelDiagnostic Imaging Department, Emek Medical Center, Yitzhak Rabin Boulevard 21, Afula 1834111, IsraelDiagnostic Imaging Department, Emek Medical Center, Yitzhak Rabin Boulevard 21, Afula 1834111, IsraelTechnion Integrated Cancer Center, Faculty of Medicine, Technion, Haifa 1834111, IsraelDepartment of Oncology, Emek Medical Center, Yitzhak Rabin Boulevard 21, Afula 1834111, Israel<b>Background</b>: This case report details the innovative use of selective internal radiation therapy (SIRT) with Yttrium-90 resin microspheres to treat a 73-year-old woman with a solitary fibrous tumor (SFT), a rare and challenging tumor type. SFTs often present significant treatment difficulties, especially in cases of recurrence or metastasis, as systemic therapies typically show limited effectiveness. This report explores SIRT as an alternative therapeutic approach for SFTs with liver metastasis. <b>Methods</b>: The patient initially presented with a pelvic mass, which was surgically resected. However, metastatic disease later developed in the liver. After experiencing severe side effects from targeted therapy with sunitinib, the patient was selected for treatment with SIRT as an alternative. <b>Results</b>: Following the SIRT intervention, the patient demonstrated a substantial reduction in tumor size and significant relief from symptoms. This outcome suggests SIRT’s effectiveness as a targeted treatment for metastatic SFT. <b>Conclusions</b>: To our knowledge, and based on an extensive literature review, this is the first reported instance of treating SFT with SIRT. This case provides new insights into SIRT’s potential as a therapeutic strategy, particularly for patients for whom conventional treatments are either ineffective or intolerable. The success observed here underscores SIRT’s potential as a less invasive, locally targeted treatment option, offering hope for similar cases.https://www.mdpi.com/2079-9721/12/11/290solitary fibrous tumor (SFT)selective internal radiation therapy (SIRT)hypervascular tumorYttrium-90 microspheres
spellingShingle Omar Badran
Sergey Dereza
Labib Mireb
Ziv Neeman
Gil Bar-Sela
Case Report: Successful Treatment of Solitary Fibrous Tumor with Selective Internal Radiation Therapy (SIRT)
Diseases
solitary fibrous tumor (SFT)
selective internal radiation therapy (SIRT)
hypervascular tumor
Yttrium-90 microspheres
title Case Report: Successful Treatment of Solitary Fibrous Tumor with Selective Internal Radiation Therapy (SIRT)
title_full Case Report: Successful Treatment of Solitary Fibrous Tumor with Selective Internal Radiation Therapy (SIRT)
title_fullStr Case Report: Successful Treatment of Solitary Fibrous Tumor with Selective Internal Radiation Therapy (SIRT)
title_full_unstemmed Case Report: Successful Treatment of Solitary Fibrous Tumor with Selective Internal Radiation Therapy (SIRT)
title_short Case Report: Successful Treatment of Solitary Fibrous Tumor with Selective Internal Radiation Therapy (SIRT)
title_sort case report successful treatment of solitary fibrous tumor with selective internal radiation therapy sirt
topic solitary fibrous tumor (SFT)
selective internal radiation therapy (SIRT)
hypervascular tumor
Yttrium-90 microspheres
url https://www.mdpi.com/2079-9721/12/11/290
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