Malignant Solitary Fibrous Tumor in the Cervical Area of an HIV-Positive Individual: A Case Study

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A 54-year-old HIV-positive male presented with a malignant solitary fibrous tumor in the cervical region, exhibiting aggressive bone destruction and lung metastasis.
2

The tumor measured approximately 10.0 cm x 8.0 cm x 4.0 cm and was associated with radiating pain in the right upper limb over a 5-month period.
3

Initial biopsy suggested a mesenchymal malignant tumor, potentially a BCOR-altered sarcoma, complicating the diagnostic process.
4

The patient underwent two cycles of neoadjuvant chemotherapy followed by surgical resection, leading to a definitive diagnosis of malignant solitary fibrous tumor.
5

Histopathological analysis confirmed the diagnosis, highlighting the importance of thorough immunohistochemical profiling in distinguishing rare sarcomas.

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