Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Medicine
Volume 2010 (2010), Article ID 257167, 4 pages
http://dx.doi.org/10.1155/2010/257167
Case Report

Histologically Malignant Solitary Fibrous Tumour of the Anterior Thoracic Wall: A Case Report and Review of the Literature

1Department of Plastic and Reconstructive Surgery, Greek Anticancer Institute, St. Savvas Hospital, 171 Alexandras Avenue, 115 22 Athens, Greece
2Department of Surgery, Greek Anticancer Institute, St. Savvas Hospital, 171 Alexandras Avenue, 115 22 Athens, Greece
3Department of Pathology, Greek Anticancer Institute, St. Savvas Hospital, 171 Alexandras Avenue, 115 22 Athens, Greece

Received 10 February 2010; Revised 16 April 2010; Accepted 13 May 2010

Academic Editor: Herman Terence Yee

Copyright © 2010 Maria Archontaki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Solitary fibrous tumour (SFT) is a rare oncological entity that most often arises in the pleura. Over the past 10 years, the tumour has been described at numerous extrapleural locations. We present the case of a 42-year-old female Caucasian patient with an extrapleural SFT located at the anterior thoracic wall for 22 years, with atypical histological characteristics and clinical features of malignancy. Management consisted of a wide surgical resection, plastic reconstruction, and postoperative radiotherapy. Although extrapleural SFT usually behaves as a benign soft tissue tumour, it can also present with a more aggressive local behavior, including locoregional recurrence or metastasis. In that case, a multidisciplinary approach is required for accurate diagnosis and proper management.