Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

Intracranial Solitary Fibrous Tumor

  • Jang, Jun-Won (Departments of Neurosurgery, University of Hallym College of Medicine, Kangnam Sacred Heart Hospital) ;
  • Kim, Chang-Hyun (Departments of Neurosurgery, University of Hallym College of Medicine, Kangnam Sacred Heart Hospital) ;
  • Yoo, Chong-Woo (Departments of Pathology, University of Hallym College of Medicine, Kangnam Sacred Heart Hospital) ;
  • Moon, Jae-Gon (Departments of Neurosurgery, University of Hallym College of Medicine, Kangnam Sacred Heart Hospital)
  • Published : 2006.01.30
Download PDF
⟨ Previous Next ⟩

Abstract

Solitary fibrous tumor is a spindle cell neoplasm that can arise in any place of the body. Intracranial solitary fibrous tumors are rare. To our knowledge, only 57 cases with intracranial lesion have been reported. In Korea three cases have been reported. Our case was a 23-year-old woman who presented with morning headache. MRI showed a large intra-axial mass involving falx with typically isointense and heterogeneous strong enhancement on T1 weighted image in the right parieto-occipital region. Histologically the tumor showed spindle shaped cells within matrix with thick collagen deposition, hypercellularity, focal necrosis, and pleomorphism. Immunohistochemical study demonstrated diffuse positivity for CD34, Vimentin, Reticulin. In case of the intracranial tumors involving the meninges, we also should consider the solitary fibrous tumor with immunohistochemical staining for accurate diagnosis.

Keywords

References

  1. Brunori A, Cerasoli S, Donati R, Giangaspero F, Chiappetta F : Solitary fibrous tumor of the meninges : two new cases and review of the literature. Surg Neurol 51 : 636-640, 1999 https://doi.org/10.1016/S0090-3019(98)00115-3
  2. Caroli E, Salvati M, Orlando ER, Lenzi J, Santoro A, Giangaspero F : Solitary fibrous tumors of the meninges : report of four cases and literature review. Neurosurg Rev 27 : 246-251, 2004
  3. Cassarino DS, Auerbach A, Rushing EJ : Widely invasive solitary fibrous tumor of the sphenoid sinus, cavernous sinus, and pituitary fossa. Ann Diagn Pathol 7 : 169-173, 2003 https://doi.org/10.1016/S1092-9134(03)00016-9
  4. Clayton AC, Salomao DR, Keeney GL, Nascimento AG : Solitary fibrous tumor : a study of cytologic features of six cases diagnosed by fine-needle aspiration. Diagn Cytopathol 25 : 172-176, 2001 https://doi.org/10.1002/dc.2032
  5. England DM, Hochholzer L, McCarthy MJ : Localized benign and malignant fibrous tumors of the pleura. A clinicopathologic review of 223 cases. Am J Surg Pathol 13 : 640-658, 1989 https://doi.org/10.1097/00000478-198908000-00003
  6. Eom DW, Khang SK, Kim CJ, Ro JY : Solitary fibrous tumor of meninges in pituitary fossa. A Case Report. Korean J Pathol 37 : 137-140, 2003
  7. Hasegawa T, Matsuno Y, Shimoda T, Hasegawa F, Sano T, Hirohashi S : Extrathoracic solitary fibrous tumors : their histological variability and potentially aggressive behavior. Hum Pathol 30 : 1464-1473, 1999 https://doi.org/10.1016/S0046-8177(99)90169-7
  8. Klemperer P, Rabin CB : Primary neoplasm of the pleura. A report of five cases. Arch Pathol 11 : 385-412, 1931
  9. Kocak A, Cayl SR, Sarac K, Aydn NE : Intraventricular solitary fibrous tumor : an unusual tumor with radiological, ultrastructural, and mmunohistochemical evaluation : Case Report. Neurosurgery 54 : 213-217, 2004 https://doi.org/10.1227/01.NEU.0000097555.75899.C3
  10. Kong TS, Son HJ, Choi HY, Moon WS, Chung MJ : Solitary Fibrous Tumor of the Meninges. J Korean Neurosurg Soc 30 : 1439-1442, 2001
  11. Lee JM : Meningeal solitary fibrous tumor. J Korean Neurosurg Soc 37 : 232-234, 2005
  12. Lo CP, Chen CY, Lin CK, Chin SC, Juan CJ, Hsueh CJ : Parasellar solitary fibrous tumor of meninges : magnetic resonance imaging features with pathologic correlation. J Neuroimaging 14 : 281-284, 2004 https://doi.org/10.1177/1051228403262708
  13. Martin AJ, Fisher C, Igbaseimokumo U, Jarosz JM, Dean AF : Solitary fibrous tumours of the meninges : case series and literature review. J Neurooncol 54 : 57-69, 2001 https://doi.org/10.1023/A:1012553119349
  14. Miyashita K, Hayashi Y, Fujisawa H, Hasegawa M, Yamashita J : Recurrent intracranial solitary fibrous tumor with cerebrospinal fluid dissemination. Case report. J Neurosurg 101 : 1045-1048, 2004 https://doi.org/10.3171/jns.2004.101.6.1045
  15. Moon WS, Lee KM : Solitary fibrous tumor clinico-pathological analysis of 11 Cases. J Korean Cancer Assoc 31 : 847-854, 1999
  16. Ogawa K, Tada T, Takahashi S, Sugiyama N, Inaguma S, Takahashi SS, et al : Malignant solitary fibrous tumor of the meninges. Virchows Arch 444 : 459-464, 2004 https://doi.org/10.1007/s00428-004-0991-7
  17. Perez-Nunez A, Rivas JJ, Ricoy JR, Miranda P, Arrese I, Lobato RD, et al : Solitary fibrous tumor of the tentorium cerebelli. Case report. J Neurosurg Sci 48 : 59-62, 2004
  18. Perry A, Scheithauer BW, Nascimento AG : The immunophenotypic spectrum of meningeal hemangiopericytoma : a comparison with fibrous meningioma and solitary fibrous tumor of meninges. Am J Surg Pathol 21 : 1354-1360, 1997 https://doi.org/10.1097/00000478-199711000-00010
  19. Pizem J, Matos B, Popovic M : Malignant intracranial solitary fibrous tumour with four recurrences over a 30-year period. Neuropathol Appl Neurobiol 30 : 696-701, 2004 https://doi.org/10.1111/j.1365-2990.2004.00613.x
  20. Rodriguez F, Scheithauer BW, Ockner DM, Giannini C : Solitary fibrous tumor of the cerebellopontine angle with salivary gland heterotopia : a unique presentation. Am J Surg Pathol 28 : 139-142, 2004 https://doi.org/10.1097/00000478-200401000-00017
  21. Suzuki SO, Fukui M, Nishio S, Iwaki T : Clinicopathological features of solitary fibrous tumor of the meninges : An immunohistochemical reappraisal of cases previously diagnosed to be fibrous meningioma or hemangiopericytoma. Pathol Int 50 : 808-817, 2000 https://doi.org/10.1046/j.1440-1827.2000.01120.x
  22. Tihan T, Viglione M, Rosenblum MK, Olivi A, Burger PC : Solitary fibrous tumors in the central nervous system. A clinicopathologic review of 18 cases and comparison to meningeal hemangiopericytomas. Arch Pathol Lab Med 127 : 432-439, 2003