論文

査読有り 国際誌
2021年3月29日

An abdominal-sacral approach with preoperative embolisation for vulvar solitary fibrous tumour: a case report.

World journal of surgical oncology
  • Akimasa Takahashi
  • ,
  • Hiroki Nishimura
  • ,
  • Tsukuru Amano
  • ,
  • Mari Deguchi
  • ,
  • Fumi Yoshino
  • ,
  • Ryo Kasei
  • ,
  • Fuminori Kimura
  • ,
  • Suzuko Moritani
  • ,
  • Takashi Murakami

19
1
開始ページ
92
終了ページ
92
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1186/s12957-021-02206-5

BACKGROUND: Solitary fibrous tumours (SFTs) in the female genital tract are uncommon. Resection of these tumours is controversial because it can cause life-threatening haemorrhage. We report a case of vulvar SFT that was excised in a combined abdominal-sacral approach after preoperative embolisation. CASE PRESENTATION: At another hospital, an inoperable intrapelvic tumour was diagnosed in a 34-year-old woman. Computed tomography and magnetic resonance imaging showed that the uterus, urinary bladder and rectum were compressed laterally by a pelvic tumour with a maximum diameter of 11 cm. This mass was hypervascular and had a well-defined border. Transperineal biopsy was performed, and immunostaining revealed that the mass was an SFT. The tumour was supplied by feeding vessels from the right iliac arteries. First, we embolised the feeding vessels. Second, we performed surgical resection in a combined abdominal-sacral approach; no blood transfusion was necessary, and no perioperative complications occurred. The final pathological diagnosis was SFT that was positive for CD34 and signal transducer and activator of transcription 6 according to immunohistochemical staining. CONCLUSION: During a year of follow-up, the disease did not recur. Treatment of pelvic SFT should aim at complete resection through various approaches after careful measures are taken to prevent haemorrhage.

リンク情報
DOI
https://doi.org/10.1186/s12957-021-02206-5
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33781289
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8008681
ID情報
  • DOI : 10.1186/s12957-021-02206-5
  • PubMed ID : 33781289
  • PubMed Central 記事ID : PMC8008681

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