Clinical Report: Robotic-Assisted Laparoscopic Removal of a Large Solitary Fibrous Tumor
Background
Solitary fibrous tumors (SFTs) are rare mesenchymal neoplasms with a low incidence, particularly in the pelvis. Due to their insidious growth and nonspecific symptoms, preoperative diagnosis is challenging, often leading to misdiagnosis. Surgical resection remains the standard treatment, but the complexity of giant pelvic SFTs necessitates advanced surgical techniques.
Data Highlights
No numerical data or trial data provided in the source material.
Key Findings
A 34-year-old male presented with a giant pelvic SFT found incidentally during a physical examination.
Preoperative imaging revealed a large heterogeneous mass in the pelvic cavity, complicated by hydronephrosis and hydroureter.
Robot-assisted laparoscopic resection was performed successfully, achieving R0 resection.
Postoperative pathology confirmed SFT diagnosis with immunohistochemistry showing STAT6+, CD34+, and Bcl-2+ markers.
The patient had a smooth recovery and was followed up for 12 months without tumor recurrence.
Clinical Implications
Continued follow-up is essential due to the potential for late recurrence.
Conclusion
The case highlights the need for careful long-term monitoring.
