Salvage preoperative embolization of an infratemporal solitary fibrous tumor: A case report with review of the literature.

Medicine (Baltimore)

Department of Diagnostic and interventional radiology, Clemenceau Medical Center Department of General Surgery, Faculty of Medical Sciences, Lebanese University, Haddath Department of ENT Department of Pathology Department of Digestive and General Surgery, Clemenceau Medical Center, Beirut, Lebanon.

Published: March 2018

Rationale: Head and Neck Solitary fibrous tumors (SFT) are very rare. They could be misdiagnosed as hemangiopericytomas (HPC).

Patient Concerns: We report a 60 y o lady presenting with sinonasal mass, causing recurrent profuse bleeding.

Diagnoses: Hemangioperocytomas versus SFT were among the differentials, according to Radiological studies. Upon Biopsy, the diagnosis of SFT has been adopted.

Interventions: Salvage pre-operative embolization resulted in bleeding control, bridging the patient to surgery.

Outcomes: Post-operative course was uneventful, and patient symptoms resolved.

Lessons: This is the first case report of a sinonasal SFT, where pre-operative embolization has been employed as a salvage procedure. This treatment modality is promising, since it controls bleeding, bridges patient to surgery and decreases blood loss during the surgical procedure.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895367PMC
http://dx.doi.org/10.1097/MD.0000000000010251DOI Listing

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