Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review

Kazuma Murata; Kenji Endo; Takato Aihara; Yuji Matsuoka; Hirosuke Nishimura; Hidekazu Suzuki; Yasunobu Sawaji; Kengo Yamamoto; Shinjiro Fukami; Maki Tanigawa; Jun Matsubayashi; Toshitaka Nagao; Reiko Imai

doi:10.1177/2309499019896099

Journal of Orthopaedic Surgery (Feb 2020)

Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review

Kazuma Murata,
Kenji Endo,
Takato Aihara,
Yuji Matsuoka,
Hirosuke Nishimura,
Hidekazu Suzuki,
Yasunobu Sawaji,
Kengo Yamamoto,
Shinjiro Fukami,
Maki Tanigawa,
Jun Matsubayashi,
Toshitaka Nagao,
Reiko Imai

Affiliations

Kazuma Murata: Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan
Kenji Endo: Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan
Takato Aihara: Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan
Yuji Matsuoka: Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan
Hirosuke Nishimura: Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan
Hidekazu Suzuki: Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan
Yasunobu Sawaji: Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan
Kengo Yamamoto: Department of Orthopedic Surgery, Tokyo Medical University, Shinjuku, Tokyo, Japan
Shinjiro Fukami: Department of Neurosurgery, Tokyo Medical University, Shinjuku, Tokyo, Japan
Maki Tanigawa: Department of Anatomic Pathology, Tokyo Medical University, Shinjuku, Tokyo, Japan
Jun Matsubayashi: Department of Anatomic Pathology, Tokyo Medical University, Shinjuku, Tokyo, Japan
Toshitaka Nagao: Department of Anatomic Pathology, Tokyo Medical University, Shinjuku, Tokyo, Japan
Reiko Imai: Division of Radiation Oncology, QST Hospital, National Institutes for Quantum and Radiological Science and Technology, Chiba, Japan

DOI: https://doi.org/10.1177/2309499019896099
Journal volume & issue: Vol. 28

Abstract

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Background: Malignant solitary fibrous tumor (MSFT) arising from the spinal cord is extremely rare and poorly understood mesenchymal neoplasms: only a few MSFT in the spinal canal has been described. We describe the clinical course of the patient with MSFT arising from the thoracic spinal cord. Case report: We describe the clinical course of the patient and the radiological and pathological findings of the tumor. The tumor had been resected by microscopic posterior approach and video-assisted thoracic surgery, but local recurrence was observed by MRI at 1-year follow-up period. No metastatic lesion was confirmed. Then, carbon ion radiotherapy (CIRT) was administered to the recurrent lesion. Local suppression has been observed for 40 months after irradiation. Conclusion: Dumbbell-shaped MSFT arising from thoracic spinal cord is a highly unusual presentation. CIRT might be effective for treatment of recurrent tumors.

Published in Journal of Orthopaedic Surgery

ISSN: 2309-4990 (Online)
Publisher: SAGE Publishing
Country of publisher: United States
LCC subjects: Medicine: Surgery: Orthopedic surgery
Website: http://journals.sagepub.com/home/osj

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