Solitary fibrous tumor surrounding the carotid sheath.
Solitary fibrous tumors (SFTs) are rare spindle cell neoplasms that are mostly found arising from the pleura. Although SFTs recently have been reported in other regions, they are rare in the head and neck and have often been misdiagnosed due to their rarity. SFTs are benign in most cases. Clinically, SFTs usually manifest as well-circumscribed, slow-growing, smooth and painless masses. Symptoms are often minimal, although they may include sore throat, difficulty in swallowing, change of voice or trismus. CT-Scan and MRI are the most sensitive imaging procedures used. The treatment of choice is complete surgical excision of the lesion. Because recurrences have been noted up to 30 years after surgery, long-term follow up is mandatory. In this article, we present a case of a Solitary Fibrous Tumor arising in the parapharyngeal space in a 20-year-old man, involving the carotid sheath, treated by surgical excision with no recurrence after 1 year. The clinical presentation, surgical management and pathological findings are described.
Gómez-Oliveira
Guillermo
G
Hospital Universitario de Canarias, Servicio de Cirugía Oral y Maxilofacial, Ofra s/n. La Cuesta, 38320 La Laguna, Santa Cruz de Tenerife, Spain. ggomoli@hotmail.com
Alvarez-Flores
Modesto
M
Arribas-García
Ignacio
I
Martínez-Gimeno
Carlos
C
D002339:Carotid Arteries; D006258:Head and Neck Neoplasms / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D054364:Solitary Fibrous Tumors / Q000175:diagnosis / Q000601:surgery; D055815:Young Adult