Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review

Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review

Background: Malignant solitary fibrous tumor (MSFT) arising from the spinal cord is extremely rare and poorly understood mesenchymal neoplasms: only a few MSFT in the spinal canal has been described. We describe the clinical course of the patient with MSFT arising from the thoracic spinal cord. Case...

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Main Authors: Kazuma Murata, Kenji Endo, Takato Aihara, Yuji Matsuoka, Hirosuke Nishimura, Hidekazu Suzuki, Yasunobu Sawaji, Kengo Yamamoto, Shinjiro Fukami, Maki Tanigawa, Jun Matsubayashi, Toshitaka Nagao, Reiko Imai
Format: Article
Language:English
Published: SAGE Publishing 2020-02-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/2309499019896099
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spelling doaj-9b54708d3fe94f39af1087290dff7e4f2020-11-25T03:44:47ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902020-02-012810.1177/2309499019896099Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature reviewKazuma Murata0Kenji Endo1Takato Aihara2Yuji Matsuoka3Hirosuke Nishimura4Hidekazu Suzuki5Yasunobu Sawaji6Kengo Yamamoto7Shinjiro Fukami8Maki Tanigawa9Jun Matsubayashi10Toshitaka Nagao11Reiko Imai12 Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan Department of Neurosurgery, Tokyo Medical University, Shinjuku, Tokyo, Japan Department of Anatomic Pathology, Tokyo Medical University, Shinjuku, Tokyo, Japan Department of Anatomic Pathology, Tokyo Medical University, Shinjuku, Tokyo, Japan Department of Anatomic Pathology, Tokyo Medical University, Shinjuku, Tokyo, Japan Division of Radiation Oncology, QST Hospital, National Institutes for Quantum and Radiological Science and Technology, Chiba, JapanBackground: Malignant solitary fibrous tumor (MSFT) arising from the spinal cord is extremely rare and poorly understood mesenchymal neoplasms: only a few MSFT in the spinal canal has been described. We describe the clinical course of the patient with MSFT arising from the thoracic spinal cord. Case report: We describe the clinical course of the patient and the radiological and pathological findings of the tumor. The tumor had been resected by microscopic posterior approach and video-assisted thoracic surgery, but local recurrence was observed by MRI at 1-year follow-up period. No metastatic lesion was confirmed. Then, carbon ion radiotherapy (CIRT) was administered to the recurrent lesion. Local suppression has been observed for 40 months after irradiation. Conclusion: Dumbbell-shaped MSFT arising from thoracic spinal cord is a highly unusual presentation. CIRT might be effective for treatment of recurrent tumors.https://doi.org/10.1177/2309499019896099
collection DOAJ
language English
format Article
sources DOAJ
author Kazuma Murata
Kenji Endo
Takato Aihara
Yuji Matsuoka
Hirosuke Nishimura
Hidekazu Suzuki
Yasunobu Sawaji
Kengo Yamamoto
Shinjiro Fukami
Maki Tanigawa
Jun Matsubayashi
Toshitaka Nagao
Reiko Imai
spellingShingle Kazuma Murata
Kenji Endo
Takato Aihara
Yuji Matsuoka
Hirosuke Nishimura
Hidekazu Suzuki
Yasunobu Sawaji
Kengo Yamamoto
Shinjiro Fukami
Maki Tanigawa
Jun Matsubayashi
Toshitaka Nagao
Reiko Imai
Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review
Journal of Orthopaedic Surgery
author_facet Kazuma Murata
Kenji Endo
Takato Aihara
Yuji Matsuoka
Hirosuke Nishimura
Hidekazu Suzuki
Yasunobu Sawaji
Kengo Yamamoto
Shinjiro Fukami
Maki Tanigawa
Jun Matsubayashi
Toshitaka Nagao
Reiko Imai
author_sort Kazuma Murata
title Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review
title_short Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review
title_full Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review
title_fullStr Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review
title_full_unstemmed Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review
title_sort salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: a case report and literature review
publisher SAGE Publishing
series Journal of Orthopaedic Surgery
issn 2309-4990
publishDate 2020-02-01
description Background: Malignant solitary fibrous tumor (MSFT) arising from the spinal cord is extremely rare and poorly understood mesenchymal neoplasms: only a few MSFT in the spinal canal has been described. We describe the clinical course of the patient with MSFT arising from the thoracic spinal cord. Case report: We describe the clinical course of the patient and the radiological and pathological findings of the tumor. The tumor had been resected by microscopic posterior approach and video-assisted thoracic surgery, but local recurrence was observed by MRI at 1-year follow-up period. No metastatic lesion was confirmed. Then, carbon ion radiotherapy (CIRT) was administered to the recurrent lesion. Local suppression has been observed for 40 months after irradiation. Conclusion: Dumbbell-shaped MSFT arising from thoracic spinal cord is a highly unusual presentation. CIRT might be effective for treatment of recurrent tumors.
url https://doi.org/10.1177/2309499019896099
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