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Case report
Akimasa Takahashi
Shiga University of medical science Setatsukinowa-cho
Corresponding Author
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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.
Keywords
Solitary Fibrous Tumour, Vulvar, Surgery, Abdominal-Sacral Approach, Embolisation
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Reviewers invited
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Posted 20 Jul, 2020
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Review #2 received
Received 28 Nov, 2020
Editorial decision: Major Revision
On 28 Nov, 2020
Review #4 received
Received 25 Nov, 2020
Reviewer #4 agreed
On 16 Nov, 2020
Review #3 received
Received 15 Nov, 2020
Reviewer #3 agreed
On 14 Nov, 2020
Reviewer #2 agreed
On 13 Nov, 2020
Review #1 received
Received 18 Aug, 2020
Reviewer #1 agreed
On 17 Aug, 2020
Reviewers invited
Invitations sent on 12 Jul, 2020
Editor assigned
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On 09 Jul, 2020
Editor invited
On 09 Jul, 2020
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Subject Areas
Oncology
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This preprint is under consideration at World Journal of Surgical Oncology. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Case report
Akimasa Takahashi
Shiga University of medical science Setatsukinowa-cho
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version (no preprint)
Posted 17 Mar, 2021
Submission checks complete
On 16 Mar, 2021
Editor invited
On 16 Mar, 2021
Reviewers invited
Invitations sent on 04 Mar, 2021
Reviews received
Received 04 Mar, 2021
Editor assigned
On 03 Mar, 2021
First submitted
On 21 Jan, 2021
This version was not preprinted
Version (no preprint)
Posted 08 Mar, 2021
Review #1 received
Received 08 Mar, 2021
Reviewer #2 agreed
On 06 Mar, 2021
Review #2 received
Received 06 Mar, 2021
Reviewers invited
Invitations sent on 04 Mar, 2021
Reviewer #1 agreed
On 04 Mar, 2021
Editor assigned
On 03 Mar, 2021
Submission checks complete
On 03 Mar, 2021
Editor invited
On 03 Mar, 2021
This version was not preprinted
Version 1
Posted 20 Jul, 2020
No community comments so far
Review #2 received
Received 28 Nov, 2020
Editorial decision: Major Revision
On 28 Nov, 2020
Review #4 received
Received 25 Nov, 2020
Reviewer #4 agreed
On 16 Nov, 2020
Review #3 received
Received 15 Nov, 2020
Reviewer #3 agreed
On 14 Nov, 2020
Reviewer #2 agreed
On 13 Nov, 2020
Review #1 received
Received 18 Aug, 2020
Reviewer #1 agreed
On 17 Aug, 2020
Reviewers invited
Invitations sent on 12 Jul, 2020
Editor assigned
On 10 Jul, 2020
First submitted
On 09 Jul, 2020
Submission checks complete
On 09 Jul, 2020
Editor invited
On 09 Jul, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Oncology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
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.
Figure 1
Figure 2
Figure 3
Figure 4
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