Solitary Fibrous Tumor Arising from the Colonic Wall: A Case Report

Solitary fibrous tumors (SFTs) are defined as fibroblast mesenchymal neoplasms. They occur in 0.35 per 100,000 individuals and most commonly occur in the pleura. Surgical resection is the mainstay of treatment. Our case aims to highlight the presentation, imaging findings, and management of colonic...

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Main Authors: Jennifer L. Mc Garry, Fintan R. Ryan, Zi Q. Ng
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-10-01
Series:World Journal of Colorectal Surgery
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Online Access:https://journals.lww.com/10.4103/wjcs.wjcs_26_22
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author Jennifer L. Mc Garry
Fintan R. Ryan
Zi Q. Ng
author_facet Jennifer L. Mc Garry
Fintan R. Ryan
Zi Q. Ng
author_sort Jennifer L. Mc Garry
collection DOAJ
description Solitary fibrous tumors (SFTs) are defined as fibroblast mesenchymal neoplasms. They occur in 0.35 per 100,000 individuals and most commonly occur in the pleura. Surgical resection is the mainstay of treatment. Our case aims to highlight the presentation, imaging findings, and management of colonic SFTs. We describe the case of a 48-year-old woman presenting with back pain and constipation. Computed tomography of the abdomen/pelvis revealed a large mass encompassing the terminal ileum and right hemi colon, suggesting gastrointestinal stromal tumor. Colonoscopy did not reveal any intraluminal lesion. Intraoperative findings revealed a right abdominal mass adherent to the cecum and terminal ileum without liver or peritoneal disease. The patient underwent a standard oncological right hemicolectomy. Histopathology revealed spindle cell neoplasm with foci of prominent vasculature and a positive signal transducer and activator of transcription 6 stain, supporting a diagnosis of SFT. Colonic SFTs are rare and usually benign in nature. To date, guidance with respect to treatment is dependent on case reports and case series.
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spelling doaj-art-63138484fa8446bda3c902de84db73482025-08-20T02:18:55ZengWolters Kluwer Medknow PublicationsWorld Journal of Colorectal Surgery1941-82132021-10-01104697110.4103/wjcs.wjcs_26_22Solitary Fibrous Tumor Arising from the Colonic Wall: A Case ReportJennifer L. Mc GarryFintan R. RyanZi Q. NgSolitary fibrous tumors (SFTs) are defined as fibroblast mesenchymal neoplasms. They occur in 0.35 per 100,000 individuals and most commonly occur in the pleura. Surgical resection is the mainstay of treatment. Our case aims to highlight the presentation, imaging findings, and management of colonic SFTs. We describe the case of a 48-year-old woman presenting with back pain and constipation. Computed tomography of the abdomen/pelvis revealed a large mass encompassing the terminal ileum and right hemi colon, suggesting gastrointestinal stromal tumor. Colonoscopy did not reveal any intraluminal lesion. Intraoperative findings revealed a right abdominal mass adherent to the cecum and terminal ileum without liver or peritoneal disease. The patient underwent a standard oncological right hemicolectomy. Histopathology revealed spindle cell neoplasm with foci of prominent vasculature and a positive signal transducer and activator of transcription 6 stain, supporting a diagnosis of SFT. Colonic SFTs are rare and usually benign in nature. To date, guidance with respect to treatment is dependent on case reports and case series.https://journals.lww.com/10.4103/wjcs.wjcs_26_22colon cancercolorectal surgerysolitary fibrous tumor
spellingShingle Jennifer L. Mc Garry
Fintan R. Ryan
Zi Q. Ng
Solitary Fibrous Tumor Arising from the Colonic Wall: A Case Report
World Journal of Colorectal Surgery
colon cancer
colorectal surgery
solitary fibrous tumor
title Solitary Fibrous Tumor Arising from the Colonic Wall: A Case Report
title_full Solitary Fibrous Tumor Arising from the Colonic Wall: A Case Report
title_fullStr Solitary Fibrous Tumor Arising from the Colonic Wall: A Case Report
title_full_unstemmed Solitary Fibrous Tumor Arising from the Colonic Wall: A Case Report
title_short Solitary Fibrous Tumor Arising from the Colonic Wall: A Case Report
title_sort solitary fibrous tumor arising from the colonic wall a case report
topic colon cancer
colorectal surgery
solitary fibrous tumor
url https://journals.lww.com/10.4103/wjcs.wjcs_26_22
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