Prague Med. Rep. 2025, 126, 92-95

https://doi.org/10.14712/23362936.2025.15

Solitary Fibrous Tumour of the Spine: Case Report and Histopathological Review

Leonardo Furtado Freitas1ID, Kathryn L. Eschbacher1ID, Mayara Oliveira da Silva2ID, Márcio Luís Duarte3,4ID

1 The University of Iowa, Iowa City, USA
2 Universidade Federal de São Paulo – Campus Baixada Santista, Santos (SP), Brazil
3 Diagnósticos da América S. A., São Paulo (SP), Brazil
4 Universidade de Ribeirão Preto – Campus Guarujá, Guarujá (SP), Brazil

Received November 23, 2024
Accepted May 12, 2025

Solitary fibrous tumour (SFT) is an uncommon type of spindle cell tumour that affects soft tissues. Due to the rarity of spinal SFTs, they are often overlooked by healthcare providers, leading to frequent misdiagnosis. The clinical signs of spinal SFT are not specific and can vary based on tumour size and location. Typically, the main symptom is localized pain, which can be associated with limb numbness and other symptoms caused by pressure. Computed tomography scan was used to assess the extent of tumour involvement in the spinal canal and to identify any affected tissues. Magnetic resonance imaging is the most sensitive imaging method, and it is usually similar to disc extrusion or sequestered disc fragments. Surgical removal is the primary treatment for spinal SFT, and additional therapies, such as chemotherapy and radiotherapy, are considered for cases in which the tumour is not fully resected or inoperable.

References

5 live references