Solitary Fibrous Tumour: A Rare Differential Diagnosis of Unilateral Nasal Mass

Solitary fibrous tumors of the nasal cavity and paranasal sinuses are rarely encountered in clinical practice. These are unusual mesenchymal tumours initially described as primary spindle-cell neoplasms. Such tumours may manifest in pleural and extrapleural sites such as the liver, parapharyngeal sp...

Full description

Saved in:
Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 15; no. 3; p. e36901
Main Authors Chew, Zi Hao, Lim, Eng Haw, Sairin, Mohd Eksan, Wan Hamizan, Aneeza Khairiyah
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 30.03.2023
Cureus
Subjects
Biopsy
Embolization
Endoscopy
Epistaxis
Exocrine glands
Medical diagnosis
Mesothelioma
Otolaryngology
Polyps
Radiation therapy
Radiology
Sinuses
Thyroid gland
Tumors
nasal obstruction
benign inflammatory nasal polyp
paranasal sinus
solitary fibrous tumour
nasal cavity
Online AccessGet full text

Cover

More Information
Summary:Solitary fibrous tumors of the nasal cavity and paranasal sinuses are rarely encountered in clinical practice. These are unusual mesenchymal tumours initially described as primary spindle-cell neoplasms. Such tumours may manifest in pleural and extrapleural sites such as the liver, parapharyngeal space, sublingual and parotid glands, and thyroid but are seldom described in the nose and paranasal sinus region. Erosion of adjacent structures may occur, but the tumour itself does not metastasise. A young patient presented with a progressive unilateral nasal mass. The initial nasal biopsy reported it as a benign inflammatory nasal polyp. Imaging revealed a large, locally expansile mass within the right nasal cavity displacing the nasal septum. The patient underwent excision of the tumour and the diagnosis of solitary fibrous tumour was confirmed by immunohistochemistry staining. This case is intended to highlight the diagnosis and management of this rare tumour.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.36901