FP0746 : Solitary Fibrous Tumor Of the Orbit -No More Rare – a Case Series of 14 cases over 5 years period

Abstract

Aim : To analyze the clinical ,radiological ,management and prognosis of a Solirtary fibrous tumor [OSFT], a rare mesenchymal tumor of orbit .Methods ; Retrospective interventional study of OSFT treated over 5 years .Results :14 cases OSFT comprised 5.46% [14/248 ] total orbital tumor treated in 5 years . Median age 37.5 years, male are more (M: F=4:3), Proptosis was main clinical symptom in 9 (64.28%), then palpable mass in 4 . OSFT most common in posterior orbit 9 (64.5%) and supero-nasal quadrant 6 (42.86%). Cavernous hemangioma was most common MRI mimic (42.8%). Excision (n=12,85.7%) and incision biopsy confirmed SFT with positive CD34, STAT-6. Adjuvant radiotherapy (RT)in 6. 28.7% (4)of all(n=14) and 3 (37.5%) non-RT cases recurred. Redo-surgery and RT in recurrent cases are 100% tumor-free. Conclusion :OFST is rare benign tumor of diverse presentation and favorable result after complete surgical excision and adjuvant radiotherapy . STAT 6 positivity confirms OSFT diagnosis

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