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            Solitary Fibrous

     Tumour of External Ear


 

                
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Solitary fibrous tumour is a rare spindle cell neoplasm of increasing incidence that was originally described to be of pleural origin. Recently cases of solitary fibrous tumour have been reported in extrapleural sites, including external auditory meatus.

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A light microscopic study reveal a spindle-cell proliferation with a collagenous stroma and a staghorn-like vascular pattern. 

The tumour cells are immunohistochemically positive for vimentin and CD34.

                  

Solitary fibrous tumor of the auditory canal.Arch Pathol Lab Med 2004 Dec;128(12):e169-71.

Solitary fibrous tumor (SFT) is an uncommon spindle cell neoplasm of increasing incidence that was originally described to be of pleural origin; however, more recently, SFT has been reported in extrapleural sites, including the orbit, liver, salivary glands, tongue, nose, paranasal sinuses, larynx, retroperitoneum, meninges, and thyroid. The increase in the number of SFTs does not necessarily mean increased incidence of this tumor but rather an increased understanding of this tumor, especially recognition of this tumor in extrapleural locations, which has been aided by immunohistochemical analysis. We report a case of SFT in the auditory canal, which to our knowledge has not been previously reported, as evident by morphologic findings and immunophenotype.

A solitary fibrous tumor in the external auditory meatus. Auris Nasus Larynx. 2004 Mar;31(1):65-7.

We herein describe a rare case of a spindle-cell neoplasm arising in the external auditory canal. A 38-year-old man presented with a progressive swelling of the entrance of left external auditory meatus. The patient underwent a surgical removal of the tumor. A light microscopic study showed a spindle-cell proliferation with a collagenous stroma and a staghorn-like vascular pattern. The tumor cells were immunohistochemically positive for vimentin and CD34. The tumor was thereafter diagnosed to be a solitary fibrous tumor (SFT). SFTs most commonly occur in the pleura and are supposed to originate from submesothelial connective tissue. Although, several cases of extrapleural SFT have been reported, no SFT arising in the entrance of left external auditory canal have ever been reported in the literature. As a basically benign tumor, it occasionally relapses or metastasizes after excision, and therefore a careful follow up is necessary.

Nodular fasciitis ;Proliferative fasciitis ; Proliferative myositis ;Ischaemic fasciitis; Elastofibroma ;Fibrous Hamartoma of Infancy; Infantile Myofibromatosis/Myofibroma ;Juvenile hyaline fibromatosis ;Inclusion  Body Fibromatosis; Calcifying aponeurotic fibroma; Fibromatosis colli ; Fibroma of tendon sheath; Desmoplastic fibroblastoma (collagenous fibroma) ;Storiform Collagenoma (sclerotic fibroma); Angiomyofibroblastoma; Dermatomyofibroma ; Cellular Angiofibroma ; Giant Cell Angiofibroma; Fibromatosis; Lipofibromatosis ; Inflammatory myofibroblastic tumour ;Myxoinflammatory fibroblastic sarcoma ; Infantile fibrosarcoma; Myxofibrosarcoma; Low grade fibromyxoid sarcoma; Sclerosing epithelioid fibrosarcoma ;


November 2007

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