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Published in: Head and Neck Pathology 2/2009

01-06-2009 | Original Paper

Solitary Fibrous Tumor of the Oral Cavity: Clinicopathologic and Immunohistochemical Study of 21 Cases

Authors: Esther M. O’Regan, Vijay Vanguri, Carl M. Allen, Lewis Roy Eversole, John M. Wright, Sook-Bin Woo

Published in: Head and Neck Pathology | Issue 2/2009

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Abstract

We describe clinical, morphologic, and immunohistochemical features of 21 cases of solitary fibrous tumor presenting in the oral cavity. There were 9 male and 12 female patients with a median age of 51 years (range 37–83). The most common locations included the buccal mucosa (the most common site), lip, maxillary or mandibular vestibule and tongue. Histopathologic examination showed well-circumscribed tumors with two well-defined patterns: the classic pattern with densely cellular areas alternating with hypocellular areas in a variably collagenous, vascular stroma and a more uniformly sclerotic pattern with only subtle classic areas. The spindle-shaped neoplastic cells consistently showed immunoreactivity for antibodies directed against CD34. Five of nineteen cases (26%) were reactive for CD99 and 19 of 19 for Bcl-2. Follow-up information was available in 17 cases and averaged 54 months, with no evidence of recurrence or metastasis in any of these patients. Awareness that solitary fibrous tumor may present in the oral cavity is important so that confusion with other spindle cell neoplasms can be avoided. We also briefly describe the differential diagnosis and compare this series, the largest single series of intraoral SFT, to cases previously reported in the literature.
Literature
1.
go back to reference Klemperer P, Rabin CB. Primary neoplasm of the pleura: a report of 5 cases. Arch Pathol (Chic). 1931;11:28. Klemperer P, Rabin CB. Primary neoplasm of the pleura: a report of 5 cases. Arch Pathol (Chic). 1931;11:28.
2.
go back to reference Stout AP, Murray MR. Localized pleural mesothelioma: investigation of its characteristics and histogenesis by method of tissue culture. Arch Pathol (Chic). 1942;34:14. Stout AP, Murray MR. Localized pleural mesothelioma: investigation of its characteristics and histogenesis by method of tissue culture. Arch Pathol (Chic). 1942;34:14.
6.
go back to reference Mentzel T, Bainbridge TC, Katenkamp D. Solitary fibrous tumour: clinicopathological, immunohistochemical, and ultrastructural analysis of 12 cases arising in soft tissues, nasal cavity and nasopharynx, urinary bladder and prostate. Virchows Arch. 1997;430(6):445–53. doi:10.1007/s004280050054.PubMedCrossRef Mentzel T, Bainbridge TC, Katenkamp D. Solitary fibrous tumour: clinicopathological, immunohistochemical, and ultrastructural analysis of 12 cases arising in soft tissues, nasal cavity and nasopharynx, urinary bladder and prostate. Virchows Arch. 1997;430(6):445–53. doi:10.​1007/​s004280050054.PubMedCrossRef
8.
go back to reference Suzuki SO, Fukui M, Nishio S, Iwaki T. Clinicopathological features of solitary fibrous tumor of the meninges: An immunohistochemical reappraisal of cases previously diagnosed to be fibrous meningioma or hemangiopericytoma. Pathol Int. 2000;50(10):808–17. doi:10.1046/j.1440-1827.2000.01120.x.PubMedCrossRef Suzuki SO, Fukui M, Nishio S, Iwaki T. Clinicopathological features of solitary fibrous tumor of the meninges: An immunohistochemical reappraisal of cases previously diagnosed to be fibrous meningioma or hemangiopericytoma. Pathol Int. 2000;50(10):808–17. doi:10.​1046/​j.​1440-1827.​2000.​01120.​x.PubMedCrossRef
9.
go back to reference Travis WD, Colby TV, Corrin B. Histological typing of tumours of lung and pleura. 3rd ed. Verlag: Springer; 1999. Travis WD, Colby TV, Corrin B. Histological typing of tumours of lung and pleura. 3rd ed. Verlag: Springer; 1999.
11.
go back to reference Nappi ORJ, Pettinato G, Wick MR. Hemangiopericytoma: histopathological pattern or clinicopathological entity. Semin Diagn Pathol. 1995;12(3):12. Nappi ORJ, Pettinato G, Wick MR. Hemangiopericytoma: histopathological pattern or clinicopathological entity. Semin Diagn Pathol. 1995;12(3):12.
13.
go back to reference Guillou L, Gebhard S, Coindre JM. Orbital and extraorbital giant cell angiofibroma: a giant cell-rich variant of solitary fibrous tumor? Clinicopathologic and immunohistochemical analysis of a series in favor of a unifying concept. Am J Surg Pathol. 2000;24(7):971–9. doi:10.1097/00000478-200007000-00008.PubMedCrossRef Guillou L, Gebhard S, Coindre JM. Orbital and extraorbital giant cell angiofibroma: a giant cell-rich variant of solitary fibrous tumor? Clinicopathologic and immunohistochemical analysis of a series in favor of a unifying concept. Am J Surg Pathol. 2000;24(7):971–9. doi:10.​1097/​00000478-200007000-00008.PubMedCrossRef
17.
go back to reference Perez-Ordonez B, Koutlas IG, Strich E, Gilbert RW, Jordan RC. Solitary fibrous tumor of the oral cavity: an uncommon location for a ubiquitous neoplasm. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;87(5):589–93. doi:10.1016/S1079-2104(99)70139-3.PubMedCrossRef Perez-Ordonez B, Koutlas IG, Strich E, Gilbert RW, Jordan RC. Solitary fibrous tumor of the oral cavity: an uncommon location for a ubiquitous neoplasm. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;87(5):589–93. doi:10.​1016/​S1079-2104(99)70139-3.PubMedCrossRef
19.
go back to reference Shin JH, Sung IY, Suh JH, Yang SO, Jeong YK, Lee JH, et al. Solitary fibrous tumor in the buccal space: MR findings with pathologic correlation. AJNR Am J Neuroradiol. 2001;22(10):1890–2.PubMed Shin JH, Sung IY, Suh JH, Yang SO, Jeong YK, Lee JH, et al. Solitary fibrous tumor in the buccal space: MR findings with pathologic correlation. AJNR Am J Neuroradiol. 2001;22(10):1890–2.PubMed
21.
23.
go back to reference Shine N, Nor nurul Khasri M, Fitzgibbon J, O’Leary G. Solitary fibrous tumor of the floor of the mouth case report and review of the literature. Ear Nose Throat J. 2006;85(7):437–9.PubMed Shine N, Nor nurul Khasri M, Fitzgibbon J, O’Leary G. Solitary fibrous tumor of the floor of the mouth case report and review of the literature. Ear Nose Throat J. 2006;85(7):437–9.PubMed
26.
go back to reference Dunfee BL, Sakai O, Spiegel JH, Pistey R. Solitary fibrous tumor of the buccal space. AJNR Am J Neuroradiol. 2005;26(8):2114–6.PubMed Dunfee BL, Sakai O, Spiegel JH, Pistey R. Solitary fibrous tumor of the buccal space. AJNR Am J Neuroradiol. 2005;26(8):2114–6.PubMed
36.
go back to reference Veltrini VC, Etges A, Magalhaes MH, de Araujo NS, de Araujo VC. Solitary fibrous tumor of the oral mucosa–morphological and immunohistochemical profile in the differential diagnosis with hemangiopericytoma. Oral Oncol. 2003;39(4):420–6. doi:10.1016/S1368-8375(02)00148-3.PubMedCrossRef Veltrini VC, Etges A, Magalhaes MH, de Araujo NS, de Araujo VC. Solitary fibrous tumor of the oral mucosa–morphological and immunohistochemical profile in the differential diagnosis with hemangiopericytoma. Oral Oncol. 2003;39(4):420–6. doi:10.​1016/​S1368-8375(02)00148-3.PubMedCrossRef
37.
go back to reference Brunnemann RB, Ro JY, Ordonez NG, Mooney J, El-Naggar AK, Ayala AG. Extrapleural solitary fibrous tumor: a clinicopathologic study of 24 cases. Mod Pathol. 1999;12(11):1034–42.PubMed Brunnemann RB, Ro JY, Ordonez NG, Mooney J, El-Naggar AK, Ayala AG. Extrapleural solitary fibrous tumor: a clinicopathologic study of 24 cases. Mod Pathol. 1999;12(11):1034–42.PubMed
40.
go back to reference Lo Muzio L, Mascolo M, Capodiferro S, Favia G, Maiorano E. Solitary fibrous tumor of the oral cavity: the need for an extensive sampling for a correct diagnosis. J Oral Pathol Med. 2007;36(9):538–42.PubMed Lo Muzio L, Mascolo M, Capodiferro S, Favia G, Maiorano E. Solitary fibrous tumor of the oral cavity: the need for an extensive sampling for a correct diagnosis. J Oral Pathol Med. 2007;36(9):538–42.PubMed
41.
45.
go back to reference Suster S, Nascimento AG, Miettinen M, Sickel JZ, Moran CA. Solitary fibrous tumors of soft tissue. A clinicopathologic and immunohistochemical study of 12 cases. Am J Surg Pathol. 1995;19(11):1257–66.PubMed Suster S, Nascimento AG, Miettinen M, Sickel JZ, Moran CA. Solitary fibrous tumors of soft tissue. A clinicopathologic and immunohistochemical study of 12 cases. Am J Surg Pathol. 1995;19(11):1257–66.PubMed
46.
47.
go back to reference Bucala R, Spiegel LA, Chesney J, Hogan M, Cerami A. Circulating fibrocytes define a new leukocyte subpopulation that mediates tissue repair. Molecular medicine (Cambridge, Mass). 1994;1(1):71–81. Bucala R, Spiegel LA, Chesney J, Hogan M, Cerami A. Circulating fibrocytes define a new leukocyte subpopulation that mediates tissue repair. Molecular medicine (Cambridge, Mass). 1994;1(1):71–81.
48.
go back to reference Tsuneyoshi M, Daimaru Y, Enjoji M. Malignant hemangiopericytoma and other sarcomas with hemangiopericytoma-like pattern. Pathol Res Pract. 1984;178(5):446–53.PubMed Tsuneyoshi M, Daimaru Y, Enjoji M. Malignant hemangiopericytoma and other sarcomas with hemangiopericytoma-like pattern. Pathol Res Pract. 1984;178(5):446–53.PubMed
49.
go back to reference de Saint Aubain Somerhausen N, Rubin BP, Fletcher CD. Myxoid solitary fibrous tumor: a study of seven cases with emphasis on differential diagnosis. Mod Pathol. 1999;12(5):463–71.PubMed de Saint Aubain Somerhausen N, Rubin BP, Fletcher CD. Myxoid solitary fibrous tumor: a study of seven cases with emphasis on differential diagnosis. Mod Pathol. 1999;12(5):463–71.PubMed
52.
go back to reference Guillou L, Gebhard S, Coindre JM. Lipomatous hemangiopericytoma: a fat-containing variant of solitary fibrous tumor? Clinicopathologic, immunohistochemical, and ultrastructural analysis of a series in favor of a unifying concept. Hum Pathol. 2000;31(9):1108–15. doi:10.1053/hupa.2000.9777.PubMedCrossRef Guillou L, Gebhard S, Coindre JM. Lipomatous hemangiopericytoma: a fat-containing variant of solitary fibrous tumor? Clinicopathologic, immunohistochemical, and ultrastructural analysis of a series in favor of a unifying concept. Hum Pathol. 2000;31(9):1108–15. doi:10.​1053/​hupa.​2000.​9777.PubMedCrossRef
53.
go back to reference Klijanienko JCJ, Lagacé R. Cytohistologic correlations in schwannomas (neurilemmomas) ia, “cellular, and epithelioid variants., Aug;34(8):517–22. DC. Cytohistologic correlations in schwannomas (neurilemmomas), including “ancient,”cellular and epitheliois variants. Diagn Cytopathol. 2006;34(8):6. doi:10.1002/dc.20320. Klijanienko JCJ, Lagacé R. Cytohistologic correlations in schwannomas (neurilemmomas) ia, “cellular, and epithelioid variants., Aug;34(8):517–22. DC. Cytohistologic correlations in schwannomas (neurilemmomas), including “ancient,”cellular and epitheliois variants. Diagn Cytopathol. 2006;34(8):6. doi:10.​1002/​dc.​20320.
55.
go back to reference Viskochil DH. It takes two to tango: mast cell and Schwann cell interactions in neurofibromas. J Clin Invest. 2003;112(12):1791–3.PubMed Viskochil DH. It takes two to tango: mast cell and Schwann cell interactions in neurofibromas. J Clin Invest. 2003;112(12):1791–3.PubMed
56.
go back to reference Glowacki J, Mulliken JB. Mast cells in hemangiomas and vascular malformations. Pediatrics. 1982;70(1):48–51.PubMed Glowacki J, Mulliken JB. Mast cells in hemangiomas and vascular malformations. Pediatrics. 1982;70(1):48–51.PubMed
60.
go back to reference Westra WHgW, Rosai J. Solitary fibrous tumor Consistent CD34 immunoreactivity and occurrence in the orbit. Am J Surg Pathol. 1994;18(10):7. Westra WHgW, Rosai J. Solitary fibrous tumor Consistent CD34 immunoreactivity and occurrence in the orbit. Am J Surg Pathol. 1994;18(10):7.
63.
go back to reference Renshaw AA. O13 (CD99) in spindle cell tumors. Reactivity with hemangiopericytoma, solitary fibrous tumor, synovial sarcoma, and meningioma but rarely with sarcomatoid mesothelioma. Appl Immunohistochem. 1995;3:250–6. Renshaw AA. O13 (CD99) in spindle cell tumors. Reactivity with hemangiopericytoma, solitary fibrous tumor, synovial sarcoma, and meningioma but rarely with sarcomatoid mesothelioma. Appl Immunohistochem. 1995;3:250–6.
65.
go back to reference Fletcher CDM, Unni KK, Mertens F. World Health Organization classification of tumours. Pathology and genetics of tumors of soft tissue and bone. Lyon: IARC Press; 2002. p. 87. Fletcher CDM, Unni KK, Mertens F. World Health Organization classification of tumours. Pathology and genetics of tumors of soft tissue and bone. Lyon: IARC Press; 2002. p. 87.
Metadata
Title
Solitary Fibrous Tumor of the Oral Cavity: Clinicopathologic and Immunohistochemical Study of 21 Cases
Authors
Esther M. O’Regan
Vijay Vanguri
Carl M. Allen
Lewis Roy Eversole
John M. Wright
Sook-Bin Woo
Publication date
01-06-2009
Publisher
Humana Press Inc
Published in
Head and Neck Pathology / Issue 2/2009
Electronic ISSN: 1936-0568
DOI
https://doi.org/10.1007/s12105-009-0111-8

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