A case of stereotactic radiation in skull base solitary fibrous tumor

More harm than good?

Peter L. Santa Maria, Waleed M. Abuzeid, Jayakar V. Nayak, Steven D. Chang, Nikolas H. Blevins

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Results We present a case with > 10 years follow-up of radiation following skull base SFT, initially misdiagnosed as schwannoma, where radiotherapy did not improve recurrence or metastatic behavior and led to complications during subsequent surgical resection.

Conclusions SFT often masquerades as schwannoma, especially in the skull base. Careful immunohistochemistry, including CD34 expression, is critical to the diagnosis and management. This case highlights that total tumor resection of SFT remains the gold standard of treatment. Stereotactic radiation is not recommended in the management of skull base SFT.

Objective Due to its location, total resection of a skull base solitary fibrous tumor (SFT) can lead to morbidity with injury to lower cranial nerves, and a decision must be made between subtotal resection with possible stereotactic radiotherapy or total resection with cranial nerve morbidity. We report the long-term outcomes and review the literature of a case of stereotactic radiation in SFT to provide evidence for making this decision.

Design A retrospective case review.

Setting An academic tertiary referral center.

Original languageEnglish (US)
Pages (from-to)e214-e216
JournalJournal of Neurological Surgery Reports
Volume75
Issue number2
DOIs
StatePublished - Jul 21 2014
Externally publishedYes

Fingerprint

Solitary Fibrous Tumors
Skull Base
Radiation
Cranial Nerves
Neurilemmoma
Radiotherapy
Morbidity
Diagnostic Errors
Tertiary Care Centers
Decision Making
Immunohistochemistry
Recurrence
Wounds and Injuries

Keywords

  • solitary fibrous tumor
  • stereotactic radiation

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

A case of stereotactic radiation in skull base solitary fibrous tumor : More harm than good? / Santa Maria, Peter L.; Abuzeid, Waleed M.; Nayak, Jayakar V.; Chang, Steven D.; Blevins, Nikolas H.

In: Journal of Neurological Surgery Reports, Vol. 75, No. 2, 21.07.2014, p. e214-e216.

Research output: Contribution to journalArticle

Santa Maria, Peter L. ; Abuzeid, Waleed M. ; Nayak, Jayakar V. ; Chang, Steven D. ; Blevins, Nikolas H. / A case of stereotactic radiation in skull base solitary fibrous tumor : More harm than good?. In: Journal of Neurological Surgery Reports. 2014 ; Vol. 75, No. 2. pp. e214-e216.
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abstract = "Results We present a case with > 10 years follow-up of radiation following skull base SFT, initially misdiagnosed as schwannoma, where radiotherapy did not improve recurrence or metastatic behavior and led to complications during subsequent surgical resection.Conclusions SFT often masquerades as schwannoma, especially in the skull base. Careful immunohistochemistry, including CD34 expression, is critical to the diagnosis and management. This case highlights that total tumor resection of SFT remains the gold standard of treatment. Stereotactic radiation is not recommended in the management of skull base SFT.Objective Due to its location, total resection of a skull base solitary fibrous tumor (SFT) can lead to morbidity with injury to lower cranial nerves, and a decision must be made between subtotal resection with possible stereotactic radiotherapy or total resection with cranial nerve morbidity. We report the long-term outcomes and review the literature of a case of stereotactic radiation in SFT to provide evidence for making this decision.Design A retrospective case review.Setting An academic tertiary referral center.",
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AU - Chang, Steven D.

AU - Blevins, Nikolas H.

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AB - Results We present a case with > 10 years follow-up of radiation following skull base SFT, initially misdiagnosed as schwannoma, where radiotherapy did not improve recurrence or metastatic behavior and led to complications during subsequent surgical resection.Conclusions SFT often masquerades as schwannoma, especially in the skull base. Careful immunohistochemistry, including CD34 expression, is critical to the diagnosis and management. This case highlights that total tumor resection of SFT remains the gold standard of treatment. Stereotactic radiation is not recommended in the management of skull base SFT.Objective Due to its location, total resection of a skull base solitary fibrous tumor (SFT) can lead to morbidity with injury to lower cranial nerves, and a decision must be made between subtotal resection with possible stereotactic radiotherapy or total resection with cranial nerve morbidity. We report the long-term outcomes and review the literature of a case of stereotactic radiation in SFT to provide evidence for making this decision.Design A retrospective case review.Setting An academic tertiary referral center.

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