A Rare Case of Solitary Fibrous Tumour of the Pelvis in an 18-Year-Old Young Man: CT and MRI Features with Pathologic Correlations

• Main Authors: Ascione R, Crocetto F, Ponsiglione A, Pandolfo SD, Gencarelli A, Insabato L, Imbriaco M, Imbimbo C
• Format: Article
• Language: English
• Published: Dove Medical Press 2020-12-01
• Series: Research and Reports in Urology
• Subjects: solitary fibrous tumour; computed tomography; magnetic resonance imaging; robotic surgery
• Online Access: https://www.dovepress.com/a-rare-case-of-solitary-fibrous-tumour-of-the-pelvis-in-an-18-year-old-peer-reviewed-article-RRU

Raffaele Ascione,1,* Felice Crocetto,2,* Andrea Ponsiglione,1 Savio Domenico Pandolfo,2 Annarita Gencarelli,1 Luigi Insabato,1 Massimo Imbriaco,1 Ciro Imbimbo2 1Department of Advanced Biomedical Science, University “Federico II”, Naples, Italy; 2Department of Neurosciences, Human Reproduction and Odontostomatology, University “Federico II”, Naples, Italy*These authors contributed equally to this workCorrespondence: Andrea PonsiglioneDepartment of Advanced Biomedical Sciences, University “Federico II”, Via S. Pansini, 5, Naples 80131, ItalyEmail [e-mail]: Solitary fibrous tumors (SFTs) are mesenchymal neoplasms of fibroblastic origin, even if commonly seen in the pleura, they can occur anywhere in the body. SFT presents as a slow growing, often asymptomatic mass, generally affecting middle-aged adults regardless of the sex. We report a rare case of an 18-year-old man referred to our institution to perform computed tomography (CT) and magnetic resonance imaging (MRI), to investigate a pelvic mass incidentally discovered at abdominal ultrasound examination. A well circumscribed, heterogenous and hypervascular lesion was described at imaging, with absence of calcifications, hemorrhage, necrosis nor cystic degeneration. The mass removal was performed via the Da Vinci-assisted robotic surgery. Histopathological evaluation confirmed the diagnosis of SFT. CT and MRI can aid the identification of SFT, providing useful information which needs to be supported by histopathological analysis.Keywords: solitary fibrous tumor, computed tomography, magnetic resonance imaging, robotic surgery