Abstract

A solitary fibrous tumour (SFT) is a rare spindle-cell neoplasm of mesenchymal origin usually located in the pleura. It has been recently described as occurring in various head and neck sites, including the oral cavity. The purpose of this article is to report a case of SFT originating in the buccal space and extending into the infratemporal space treated by means of transoral approach surgery. A 25-year-old female patient reported to the Department of Oral and Maxillofacial Surgery, Universitas Airlangga Hospital, chiefly complaining of a painless lump in the left cheek which had been present for nine months. The diagnosis was arrived at on the basis of a combination of clinical investigation, imaging studies and histopathological examination (biopsy). The surgical approach involved transoral incision through the buccal mucosa. An SFT of buccal space may extend to nearby structures producing the anatomical challenge of removal through a transoral approach. Excisional biopsy involving a transoral approach is, nevertheless, considered appropriate because it produces an attractive aesthetic appearance, reduces morbidity from nerve/ vascular/ gland injury and promotes more effective healing. Key words:Solitary fibrous tumor, buccal space, infratemporal space, transoral approach.

Highlights

  • A solitary fibrous tumour (SFT) is an uncommon spindle-cell neoplasm of mesenchymal origin

  • An SFT is a rare mesenchymal neoplasm generally considered to occur in ubiquitous interstitial stem cells situated within soft tissues

  • The SFT affecting the patient was located in the buccal space, extended into the infratemporal space (Fig. 3A) and was treated with excisional biopsy using a transoral approach which was relatively rapid and straightforward with few complications

Read more

Summary

Introduction

A solitary fibrous tumour (SFT) is an uncommon spindle-cell neoplasm of mesenchymal origin. An increasing incidence of the tumor has been found in the extrapleural sites, including the peritoneum, mediastinum, orbit, infratemporal fossa parapharyngeal space, upper airways and nose, salivary and thyroid glands and oral cavity. As documented in the literature, SFT accounts for 3% of all cases occurring in the oral region. When SFT develops in oral cavity it appears like a painless swelling, some of them may give rise to compression symptoms and with differential diagnosis lipomas, pleomorphic adenomas, schwannomas, fibrous histiocytomas, benign glandular tumors and dermoid cyst. Members of both sexes are affected, with patients being predominantly middle-aged or elderly.

Objectives
Findings
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call