Clinicopathological Characteristics of Three Cases with Recurrent Orbital Solitary Fibrous Tumors: A Retrospective Study and Literature Review.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Jinlong Cui, Xiawei Wang, Yan Long, Dongyu Guo, Hongguang Cui
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引用次数: 0

Abstract

Objective: Solitary fibrous tumor (SFT) is a spindle cell neoplasm that rarely occurs in orbit. This study aimed to report the clinical, imaging, and pathological features of three patients with recurrent orbital SFTs.

Methods: Clinical, imaging, and pathological data of the three patients were retrospectively reviewed, and the results were compared with those of previously reported cases with recurrent orbital SFT.

Results: One female and two male patients (mean age, 54 years old) were included in this study. The present cases and literature review showed that the average time to recurrence in patients who aged under 50 years old was shorter than that in those who aged over 50 years old. The most common site for recurrent orbital SFT was the retrobulbar area of the orbit (23.8%). Imaging examinations showed consistent intensity of MRI signals before and after recurrence. Immunohistochemical results of all cases revealed the expressions of CD34. The mitotic rate increased in 4/8 cases, and the percentage of Ki-67-positive cells was elevated in 5/16 cases.

Conclusion: These results suggested that young patients were more likely subjected to recurrent orbital SFT. The postoperative pathological diagnosis revealed that patients with recurrent orbital SFT had more nuclear abnormalities and mitotic activity, as well as a higher percentage of Ki-67-positive cells, indicating that orbital recurrent SFT tended to be malignant according to both morphological features and immunohistochemistry results.

三例复发性眼眶孤立性纤维瘤的临床病理特征:回顾性研究与文献综述。
目的:孤立性纤维瘤(SFT)是一种纺锤形细胞肿瘤,很少发生在眼眶。本研究旨在报告三例复发性眼眶 SFT 患者的临床、影像学和病理学特征:方法:回顾性分析三位患者的临床、影像学和病理学资料,并将结果与之前报道的复发性眼眶SFT病例进行比较:本研究纳入了一女两男患者(平均年龄 54 岁)。本病例和文献综述显示,50 岁以下患者的平均复发时间短于 50 岁以上的患者。复发性眼眶 SFT 最常见的部位是眼眶后区(23.8%)。影像学检查显示复发前后的核磁共振信号强度一致。所有病例的免疫组化结果均显示 CD34 的表达。4/8的病例有丝分裂率增加,5/16的病例Ki-67阳性细胞比例升高:这些结果表明,年轻患者更容易复发眼眶 SFT。术后病理诊断显示,复发性眼眶 SFT 患者的核异常和有丝分裂活性更强,Ki-67 阳性细胞的比例也更高,这表明无论从形态学特征还是免疫组化结果来看,眼眶复发性 SFT 都倾向于恶性。
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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