Solitary fibrous tumour of the chest wall

Extrapleural solitary fibrous tumours (SFTs) are rare tumours characterized by patternless spindle cells with haemangiopericytoma-like vascular spaces. Previously the tumours have been classified as haemangiopericytoma, an entity that is now considered obsolete. We report a case of extrapleural SFT...

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Main Authors: Mohtarrudin, Norhafizah, Nor Hanipah, Zubaidah, Mohd Dusa, Noraini
Format: Article
Language:English
Published: Malaysian Society of Pathologists 2016
Online Access:http://psasir.upm.edu.my/id/eprint/46334/
http://psasir.upm.edu.my/id/eprint/46334/1/Solitary%20fibrous%20tumour%20of%20the%20chest%20wall.pdf
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author Mohtarrudin, Norhafizah
Nor Hanipah, Zubaidah
Mohd Dusa, Noraini
author_facet Mohtarrudin, Norhafizah
Nor Hanipah, Zubaidah
Mohd Dusa, Noraini
author_sort Mohtarrudin, Norhafizah
building UPM Institutional Repository
collection Online Access
description Extrapleural solitary fibrous tumours (SFTs) are rare tumours characterized by patternless spindle cells with haemangiopericytoma-like vascular spaces. Previously the tumours have been classified as haemangiopericytoma, an entity that is now considered obsolete. We report a case of extrapleural SFT arising in the soft tissue of the chest wall. The patient was a 31-year-old Malay lady presenting with a mobile swelling of the right chest wall for more than five years. During excision the tumour was noted to be well-circumscribed and yellowish in colour, giving an impression of lipoma. Microscopically, the tumour had patternless architecture, characterized by hypocellular and hypercellular areas. It was composed of uniform, spindle-shaped cells displaying oval nuclei, inconspicuous nucleoli, pale cytoplasm and indistinct cell borders. The mitotic count was 2 per 10 HPF. Branching, medium-sized thin-walled blood vessels in a haemangiopericytomatous growth pattern, some with hyalinised wall were identified. The neoplastic cells were immunoreactive to CD99 and CD34 and were non-immunoreactive to Desmin, Smooth Muscle Actin, S100 protein and EMA. We elucidate the challenges in diagnosing this tumour in this unusual location.
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spelling upm-463342022-06-17T08:06:18Z http://psasir.upm.edu.my/id/eprint/46334/ Solitary fibrous tumour of the chest wall Mohtarrudin, Norhafizah Nor Hanipah, Zubaidah Mohd Dusa, Noraini Extrapleural solitary fibrous tumours (SFTs) are rare tumours characterized by patternless spindle cells with haemangiopericytoma-like vascular spaces. Previously the tumours have been classified as haemangiopericytoma, an entity that is now considered obsolete. We report a case of extrapleural SFT arising in the soft tissue of the chest wall. The patient was a 31-year-old Malay lady presenting with a mobile swelling of the right chest wall for more than five years. During excision the tumour was noted to be well-circumscribed and yellowish in colour, giving an impression of lipoma. Microscopically, the tumour had patternless architecture, characterized by hypocellular and hypercellular areas. It was composed of uniform, spindle-shaped cells displaying oval nuclei, inconspicuous nucleoli, pale cytoplasm and indistinct cell borders. The mitotic count was 2 per 10 HPF. Branching, medium-sized thin-walled blood vessels in a haemangiopericytomatous growth pattern, some with hyalinised wall were identified. The neoplastic cells were immunoreactive to CD99 and CD34 and were non-immunoreactive to Desmin, Smooth Muscle Actin, S100 protein and EMA. We elucidate the challenges in diagnosing this tumour in this unusual location. Malaysian Society of Pathologists 2016-04 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/46334/1/Solitary%20fibrous%20tumour%20of%20the%20chest%20wall.pdf Mohtarrudin, Norhafizah and Nor Hanipah, Zubaidah and Mohd Dusa, Noraini (2016) Solitary fibrous tumour of the chest wall. Malaysian Journal of Pathology, 38 (1). pp. 61-64. ISSN 0126-8635 https://pubmed.ncbi.nlm.nih.gov/27126667/#:~:text=Abstract,that%20is%20now%20considered%20obsolete.
spellingShingle Mohtarrudin, Norhafizah
Nor Hanipah, Zubaidah
Mohd Dusa, Noraini
Solitary fibrous tumour of the chest wall
title Solitary fibrous tumour of the chest wall
title_full Solitary fibrous tumour of the chest wall
title_fullStr Solitary fibrous tumour of the chest wall
title_full_unstemmed Solitary fibrous tumour of the chest wall
title_short Solitary fibrous tumour of the chest wall
title_sort solitary fibrous tumour of the chest wall
url http://psasir.upm.edu.my/id/eprint/46334/
http://psasir.upm.edu.my/id/eprint/46334/
http://psasir.upm.edu.my/id/eprint/46334/1/Solitary%20fibrous%20tumour%20of%20the%20chest%20wall.pdf