Skip to main content
SpringerLink
Log in

A case of a “wandering” mobile solitary fibrous tumor occurring in the pancreas

  • Case Report
  • Published:
Clinical Journal of Gastroenterology Aims and scope Submit manuscript

Abstract

A 73-year-old male with a complaint of abdominal discomfort was examined by abdominal ultrasonography and found to have a hypoechoic mass in the upper abdomen. On abdominal computed tomography (CT), there was a 5-cm, hypervascular mass between the stomach and aorta. Magnetic resonance imaging (MRI) and magnetic resonance cholangiopancreatography (MRCP) showed a homogeneous mass with hypointensity on T1-weighted images, accompanied by stenosis of the main pancreatic duct of the pancreatic head. On endoscopic ultrasonography, the mass was depicted as a round homogeneous, hypervascular mass attached to the pancreatic head. Surprisingly, the mass was located on the right side of the aorta on the second CT. Histological examination of the resected specimen showed that the lesion was composed of spindle cells with cord-like arrangement, the features of which were compatible with a mobile solitary fibrous tumor.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

Abbreviations

SFT:

Solitary fibrous tumor

EUS:

Endoscopic ultrasonography

References

  1. Klemperer P, Rabin C. Primary neoplasms of the pleura. A report of five cases. Arch Pathol. 1937;11:385–412.

    Google Scholar 

  2. Daniel P, Konstantinia K, Petros B, et al. Solitary fibrous tumor of the pancreas. Case report and review of the literature. World J Gastrointest. 2016;8:461–6.

    Article  Google Scholar 

  3. Fletcher CDM, Unni KK, Mertens F. World Health Organization classification of tumours. Lyon: IARC Press; 2002. p. 86–90.

    Google Scholar 

  4. England DM, Hochholzer L, McCarthy MJ. Localized benign and malignant fibrous tumors of the pleura. A clinicopathologic review of 223 cases. Am J Surg Pathol. 1989;13:640–58.

    Article  CAS  PubMed  Google Scholar 

  5. Park CK, Lee DH, Park JY, Park SH, et al. Multiple recurrent malignant solitary fibrous tumors: long-term follow-up of 24 years. Ann Thorac Surg. 2011;91:1285–8.

    Article  PubMed  Google Scholar 

  6. Enzinger FM, Smith BH. Hemangiopericytoma. An analysis of 106 cases. Human Pathol 1976;7:61–82.

    Article  CAS  Google Scholar 

  7. Tasdemir A, Soyuer I, Yurci A, et al. A huge solitary fibrous tumor localized in the pancreas: a young women. J Pancreas. 2012;13:304–7.

    Google Scholar 

  8. Chetty R, Jain R, Serra S. Solitary fibrous tumor of the pancreas. Ann Diagn Pathol. 2009;13:339–43.

    Article  PubMed  Google Scholar 

  9. Lüttges J, Mentzel T, Hübner G, et al. Solitary fibrous tumour of the pancreas: a new member of the small group of mesenchymal pancreatic tumours. Virchows Arch. 1999;435:37–42.

    Article  PubMed  Google Scholar 

  10. Srinivasan VD, Wayne JD, Rao MS, et al. Solitary fibrous tumor of the pancreas: case report with cytologic and surgical pathology correlation and review of the literature. J Pancreas. 2008;9:526–30.

    Google Scholar 

  11. Sugawara Y, Sakai S, Aono S, et al. Solitary fibrous tumor of the pancreas. J Radiol. 2010;28:479–82.

    Google Scholar 

  12. Kwon HJ, Byun JH, Kang J, et al. Solitary fibrous tumor of the pancreas: imaging findings. Korean J Radiol. 2008;9:48–51.

    Article  Google Scholar 

  13. Chatti K, Nouira K, Ben Reguigua M, et al. Solitary fibrous tumor of the pancreas. A case report. Gastroenterol Clin Biol. 2006;30:317–9.

    Article  PubMed  Google Scholar 

  14. Miyamoto H, Molena DA, Schoeniger LO. Solitary fibrous tumor of the pancreas: a case report. Int J Surg Pathol. 2007;15:311–4.

    Article  PubMed  Google Scholar 

  15. Gardini A, Dubini A, Saragoni L, et al. Benign solitary fibrous tumor of the pancreas: a rare location of extrapleural fibrous tumor. Single case report and review of the literature. Pathologica. 2007;99:15–8.

    CAS  PubMed  Google Scholar 

  16. Ishiwatari H, Hayashi T, Yoshida M, et al. A case of solitary fibrous tumor of the pancreas. Nihon Shokakibyo Gakkai Zasshi. 2009;106:1078–85.

    PubMed  Google Scholar 

  17. Santos LA, Santos VM, Oliveira OC, et al. Solitary fibrous tumour of the pancreas: a case report. An Sist Sanit Navar. 2012;35:133–6.

    Article  CAS  PubMed  Google Scholar 

  18. van der Vorst JR, Vahrmeijer AL, Hutteman M, et al. Near-infrared fluorescence imaging of a solitary fibrous tumor of the pancreas using methylene blue. World J Gastrointest Surg. 2012;4:180–4.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Chen JW, Lü T, Liu HB, et al. A solitary fibrous tumor in the pancreas. Chin Med J. 2013;126:1388–9.

    PubMed  Google Scholar 

  20. Hwang JD, Kim JW, Chang JC. Imaging findings of a solitary fibrous tumor in pancreas: a case report. J Korean Soc Radiol. 2014;70:53–7. doi:10.3348/jksr.2014.70.1.53.

    Article  Google Scholar 

  21. Hee Han S, Hyun Baek Y, Han SY, et al. Solitary fibrous tumor of the pancreas: a case report and review of the literature. Korean J Med. 2015;88:293–8. doi:10.3904/kjm.2015.88.3.293.

    Article  Google Scholar 

  22. Baxter AR, Newman E, Hajdu CH. Solitary fibrous tumor of the pancreas. J Surg Case Rep. 2015;12:1–4.

    Article  Google Scholar 

  23. Estrella JS, Wang H, Bhosale PR, et al. Malignant solitary fibrous tumor of the pancreas. Pancreas. 2015;44(6):988–94.

    Article  PubMed  Google Scholar 

  24. Cardinale L, Allasia M, Ardissone F, et al. CT features of solitary fibrous tumour of the pleura: experience in 26 patients. Radiol Med. 2006;111:640–50.

    Article  CAS  PubMed  Google Scholar 

  25. Tateishi U, Nishihara H, Morikawa T, et al. Solitary fibrous tumor of the pleura: MR appearance and enhancement pattern. J Comput Assist Tomogr. 2002;26:174–9.

    Article  PubMed  Google Scholar 

  26. Gabata T, Kadoya M, Matsui O. Differential diagnosis of solid pancreatic masses. J Diag Imaging. 2000;20:1098–110.

    Google Scholar 

  27. Azadi J, Subhawong A, Durand DJ. F-18 FDG PET/CT and Tc-99 m sulfur colloid SPECT imaging in the diagnosis and treatment of a case of dual solitary fibrous tumors of the retroperitoneum and pancreas. J Radiol Case Rep. 2012;6:32–7.

    PubMed  PubMed Central  Google Scholar 

  28. Ioannidis J, Lau J. 18F-FDG PET for the diagnosis and grading of soft-tissue sarcoma: a meta-analysis. J Nucl Med. 2003;44(5):717–24.

    PubMed  Google Scholar 

  29. Osuga T, Hayashi T, Ishiwatari H, et al. Pancreatic metastasis from a solitary fibrous tumor of the central nervous system. J Pancreas. 2014;15:58–62.

    Google Scholar 

  30. Nakano T, Minagawa M, Takano K, et al. A case of solitary fibrous tumor of the pancreas. Niigata Med J. 2014;128:121–7.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Gastroenterology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Uchimaru 19-1, Morioka, Iwate, 020-8505, Japan

    Shuhei Oana, Nozomi Matsuda, Sho Sibata & Takayuki Matsumoto

  2. Department of Molecular Diagnostic Pathology, School of Medicine, Iwate Medical University, Morioka, Japan

    Kazuyuki Ishida & Tamotsu Sugai

Authors
  1. Shuhei Oana
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nozomi Matsuda
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sho Sibata
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kazuyuki Ishida
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Tamotsu Sugai
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Takayuki Matsumoto
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shuhei Oana.

Ethics declarations

Conflict of interest

The authors declare that they have no conflicts of interest.

Human/animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from the participant in this case.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Oana, S., Matsuda, N., Sibata, S. et al. A case of a “wandering” mobile solitary fibrous tumor occurring in the pancreas. Clin J Gastroenterol 10, 535–540 (2017). https://doi.org/10.1007/s12328-017-0774-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12328-017-0774-8

Keywords

Search

Navigation