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Journal of Nippon Medical School

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-Case Reports-

Solitary Fibrous Tumor Arising from the Superior Nasal Turbinate: A Case Report

Terumichi Fujikura, Mariko Ishida, Kuon Sekine, Hideharu Aoki and Kimihiro Okubo

Department of Head & Neck and Sensory Organ Science, Graduate School of Medicine, Nippon Medical School


Solitary fibrous tumor is a rare neoplasm, which was first described as a primary spindle-cell tumor of the pleura, is a type of mesenchymal tumor. Although the majority of these tumors originate in the pleura, they can also derive from extrapleural sites, such as the liver, lung, abdomen, and extremities. We report a rare case of a nasal solitary fibrous tumor that originated from the nasal superior turbinate. The tumor, measuring 45 × 25 × 10 mm, was in the right nasal cavity. We successfully removed the tumor in one piece through endonasal endoscopic surgery. The tumor had spindle-shaped cells within a collagenous stroma and was positive for CD34. There has been no evidence of tumor recurrence in the 14 months following surgery.

J Nippon Med Sch 2012; 79: 373-376

Keywords
solitary fibrous tumor, nasal cavity, endoscopic surgery, CD34

Correspondence to
Terumichi Fujikura, Department of Otorhinolaryngology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
teru-fujik@nms.ac.jp

Received, November 29, 2011
Accepted, December 27, 2011