Orbital Solitary Fibrous Tumor: Four Case Reports—Clinical and Histopathological Features
Purpose. To retrospectively describe the clinical characteristics, management, and outcomes of four cases of orbital solitary fibrous tumor (SFT). In one patient, we present an ultrasonic aspirator system for tumor removal. Methods. Four patients with orbital SFT were selected: one patient with orbi...
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Wiley
2021-01-01
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| Series: | Case Reports in Ophthalmological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/5822859 |
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| author | Carmen Navarro-Perea Cristina Calleja-García Álvaro Bengoa-González María-C. Garrido Enrique Mencía-Gutiérrez Silvia Pérez-Trigo |
| author_facet | Carmen Navarro-Perea Cristina Calleja-García Álvaro Bengoa-González María-C. Garrido Enrique Mencía-Gutiérrez Silvia Pérez-Trigo |
| author_sort | Carmen Navarro-Perea |
| collection | DOAJ |
| description | Purpose. To retrospectively describe the clinical characteristics, management, and outcomes of four cases of orbital solitary fibrous tumor (SFT). In one patient, we present an ultrasonic aspirator system for tumor removal. Methods. Four patients with orbital SFT were selected: one patient with orbital SFT, another patient with frontal and ethmoidal SFT and orbital affectation with high rates of recurrence, the third patient with frontal lobe SFT and orbital invasion with multiple recurrences, and the fourth case with a history of craniopharyngioma surgery and SFT located on the orbital apex. Results. All cases showed proptosis, eye movement restriction, and, in three cases, visual acuity alteration. Different treatments were applied: in three cases, excision was performed, one of them with an ultrasonic aspirator system, and in the remaining case, an exenteration was done (in two cases, radiosurgery treatment was also applied). The immunohistochemical study revealed SFT, similar to hemangiopericytomas (HPCs). No recurrence has been observed after surgical treatment. Conclusion. The SFT is a spectrum of different tumors with similar histopathological characteristics. The use of immunohistochemical markers is very helpful in the diagnosis. The main problem of orbital involvement is the risk of damaging important structures adjacent to the tumor during the surgical removal. The ultrasonic aspirator system allows elimination of the tumor without damaging other orbital structures. |
| format | Article |
| id | doaj-art-da3b7c3d4f964e33acca9c1df7b98d6d |
| institution | Kabale University |
| issn | 2090-6722 2090-6730 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Ophthalmological Medicine |
| spelling | doaj-art-da3b7c3d4f964e33acca9c1df7b98d6d2025-08-20T03:24:25ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302021-01-01202110.1155/2021/58228595822859Orbital Solitary Fibrous Tumor: Four Case Reports—Clinical and Histopathological FeaturesCarmen Navarro-Perea0Cristina Calleja-García1Álvaro Bengoa-González2María-C. Garrido3Enrique Mencía-Gutiérrez4Silvia Pérez-Trigo5Ophthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainOphthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainOphthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainPathology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainOphthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainOphthalmology Department, 12 de Octubre Hospital, Complutense University, 28041 Madrid, SpainPurpose. To retrospectively describe the clinical characteristics, management, and outcomes of four cases of orbital solitary fibrous tumor (SFT). In one patient, we present an ultrasonic aspirator system for tumor removal. Methods. Four patients with orbital SFT were selected: one patient with orbital SFT, another patient with frontal and ethmoidal SFT and orbital affectation with high rates of recurrence, the third patient with frontal lobe SFT and orbital invasion with multiple recurrences, and the fourth case with a history of craniopharyngioma surgery and SFT located on the orbital apex. Results. All cases showed proptosis, eye movement restriction, and, in three cases, visual acuity alteration. Different treatments were applied: in three cases, excision was performed, one of them with an ultrasonic aspirator system, and in the remaining case, an exenteration was done (in two cases, radiosurgery treatment was also applied). The immunohistochemical study revealed SFT, similar to hemangiopericytomas (HPCs). No recurrence has been observed after surgical treatment. Conclusion. The SFT is a spectrum of different tumors with similar histopathological characteristics. The use of immunohistochemical markers is very helpful in the diagnosis. The main problem of orbital involvement is the risk of damaging important structures adjacent to the tumor during the surgical removal. The ultrasonic aspirator system allows elimination of the tumor without damaging other orbital structures.http://dx.doi.org/10.1155/2021/5822859 |
| spellingShingle | Carmen Navarro-Perea Cristina Calleja-García Álvaro Bengoa-González María-C. Garrido Enrique Mencía-Gutiérrez Silvia Pérez-Trigo Orbital Solitary Fibrous Tumor: Four Case Reports—Clinical and Histopathological Features Case Reports in Ophthalmological Medicine |
| title | Orbital Solitary Fibrous Tumor: Four Case Reports—Clinical and Histopathological Features |
| title_full | Orbital Solitary Fibrous Tumor: Four Case Reports—Clinical and Histopathological Features |
| title_fullStr | Orbital Solitary Fibrous Tumor: Four Case Reports—Clinical and Histopathological Features |
| title_full_unstemmed | Orbital Solitary Fibrous Tumor: Four Case Reports—Clinical and Histopathological Features |
| title_short | Orbital Solitary Fibrous Tumor: Four Case Reports—Clinical and Histopathological Features |
| title_sort | orbital solitary fibrous tumor four case reports clinical and histopathological features |
| url | http://dx.doi.org/10.1155/2021/5822859 |
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