A rare case of metastatic solitary fibrous tumor of the pancreas manifesting as a cystic neoplasm: a case report

Yamashita, Hironori; Fujino, Yasuhiro; Ohara, Tadayuki; Kakinoki, Keitaro; Sugimoto, Takemi; Kajimoto, Kazuyoshi; Tominaga, Masahiro

doi:10.1186/s40792-019-0699-1

Surgical Case Reports

Table 1 Cases of primary and secondary SFT of the pancreas reported in the English literature

From: A rare case of metastatic solitary fibrous tumor of the pancreas manifesting as a cystic neoplasm: a case report

	Author	Year	Age, sex	Symptoms	Site	Size (cm)	Preoperative biopsy (diagnosis)	Preoperative diagnosis	Operation	Primary site	Malignant findings^a	Postoperative course
1	Luttges et al. [1]	1999	50, F	Asymptomatic	Pb	5.5	Open biopsy (mesenchymal origin)	NEN	DP	Panc	None	20 months, no recurrence
2	Miyamoto et al. [2]	2007	41, F	Abdominal pain	Pbh	2.0	CT-guided FNA (insufficient material)	NEN	Laparoscopic EN	Panc	None	7 months, no recurrence
3	Srinivasan et al. [3]	2008	78, F	Back pain, fatigue, weight loss	Pb	5.0	EUS-FNA (mesenchymal tumor)	Mesenchymal tumor	DP	Panc	None	7 months, no recurrence
4	Kwon et al. [4]	2008	54, M	Asymptomatic	Pb	7.6	None	NEN, SPN	MP	Panc	None	70 months, no recurrence^b
5	Chetty et al. [5]	2009	67, F	Asymptomatic	Ph	2.6	None	NEN	PD	Panc	None	6 months, no recurrence
6	Sugawara et al. [6]	2010	55, F	Asymptomatic	Ph	7.0	None	N.A	PD	Panc	None	3 years, no recurrence^b
7	Santos et al. [7]	2012	40, F	Asymptomatic	Pb	3.0	FNA (insufficient material)	N.A	Partial pancreatectomy	Panc	None	N.A
8	Tasdemir et al. [8]	2012	24, F	Abdominal pain, constipation	Ph	18.5	None	Mesenchymal tumor	EN	Panc	None	3 months, no recurrence
9	Azadi et al. [9]	2012	57, M	Asymptomatic	Pt	3.1	Biopsy (spindle cell neoplasm)	Spindle cell neoplasm	DP and left nephrectomy	Panc	None	N.A
10	van der Vorst et al. [10]	2012	67, F	Abdominal pain	Ph	2.8	None	NEN	EN	Panc	None	N.A
11	Patel et al. [11]	2013	43, M	Pancreatitis	Ph	6.0	EUS-FNA (SFT)	Metastatic SFT	PD and partial hepatectomy	Kidney	N.A	1.5 years, no recurrence
12	Osuga et al. [12]	2014	62, F	Asymptomatic^c	Phb	3.4	EUS-FNA (SFT)	Metastatic SFT	MP	CNS	High mitotic rate	N.A
13	Estrella et al. [13]	2015	52, F	Jaundice, loss of appetite	Ph	15.0	None	NEN	PD	Panc	Hypercellularity, high mitotic rate, cytological atypia, necrosis	40 months, no recurrence
14	Baxter et al. [14]	2015	58, F	Abdominal pain	Ph	3.5	EUS-FNA (non-diagnostic)	NEN, GIST, sarcoma	PD	Panc	None	1 year, no recurrence
15	Paramythiotis et al. [15]	2016	55, M	Abdominal pain	Pb	3.6	None	NEN, SPN, GIST	SPDP	Panc	Necrosis	12 months, no recurrence
16	Murakami et al. [16]	2016	82, M	Edema, hypertension, hypokalemia	Pt	6.0	None	NEN	DP	Panc	N.A	4 months, died of sepsis
17	Spasevska et al. [17]	2016	47, M	Abdominal pain, jaundice	Ph	3.5	None	Cystadeno-carcinoma	PD	Panc	None	1 week, died of complications
18	Sheng et al. [18]	2017	1, M	Jaundice	Ph	2.0	None	N.A	PD	Panc	High mitotic rate, cytological atypia	12 months, no recurrence
19	Colvin et al. [19]	2017	76, M	Fatigue, abdominal pain, weight loss	Pbh	1.5	EUS-FNA (SFT)	Metastatic SFT	Robotic CP	Chest wall	Hypercellularity	1 year, recurrence in the chest wall
20	D’Amico et al. [20]	2017	52, M	Asymptomatic	Pt	2.0	None	NEN	EN	Panc	None	24 months, no recurrence
21	Oana et al. [21]	2017	73, M	Abdominal discomfort	Ph	6.5	None	NEN, ACC, GIST	Partial pancreatectomy	Panc	None	3 years, no recurrence
22	Current case	2019	58, F	Asymptomatic	Pt	5.6	None	NEN, SPN, MCN	DP	CNS	High mitotic rate	4 years, meningeal dissemination

ACC acinar cell carcinoma, CNS central nervous system, CP central pancreatectomy, DP distal pancreatectomy, EN enucleation, EUS endoscopic ultrasonography, FNA fine-needle aspiration, GIST gastrointestinal stromal tumor, MCN mucinous cystic neoplasm, MP middle pancreatectomy, N.A not available, NEN neuroendocrine neoplasm, Panc pancreas, PD pancreaticoduodenectomy, SFT solitary fibrous tumor, SPDP spleen-preserving distal pancreatectomy, SPN solid pseudopapillary neoplasm
^aMalignant findings of SFT according to the World Health Organization classification [29]
^bInformation in the postoperative course was retrieved from the report by Baxter et al. [14]
^cThe patient had a chest discomfort, which was considered irrelevant to the pancreatic disease

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