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Preoperative embolisation of orbital solitary fibrous tumour
  1. Vempuluru Sai Vijitha1,
  2. Anasua Ganguly Kapoor1,
  3. Ruchi Mittal2 and
  4. Ramakrishna Vangara3
  1. 1The Operation Eyesight Universal Institute for Eye Cancer, LV Prasad Eye Institute, Vijayawada, India
  2. 2Ophthalmic Pathology, LV Prasad Eye Institute, Bhubaneswar, Odisha, India
  3. 3Cancer Care, Manipal Hospitals, Vijayawada, India
  1. Correspondence to Dr Anasua Ganguly Kapoor; anasua21{at}yahoo.com

Abstract

Solitary fibrous tumours (SFT) is an encompassing terminology comprising of tumours with proliferating CD34 positive specialised fibroblasts. Orbital SFTs are rare slowly progressive highly vascular neoplasms. Complete surgical excision is considered the mainstay treatment. Incomplete resection is a known risk factor for recurrence and malignant transformation. Recently preoperative embolisation of SFT has shown promising results in reducing the vascularity of these tumours rendering them amenable to complete surgical excision. Less than 10 cases of embolisation of orbital solitary fibrous tumours have been described in literature. Our patient underwent an attempted surgical excision elsewhere with significant intraoperative haemorrhage which precluded its complete excision. Herein, we report successful outcome in a case of hypervascular orbital SFT managed with preoperative embolisation, surgical resection and adjuvant radiotherapy along with a review of relevant literature.

  • eye
  • surgical oncology
  • ophthalmology
  • head and neck cancer

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Footnotes

  • Contributors AG, RM and RK are responsible for managing the patient, formulation and editing of the manuscript. VSV is responsible for collection of data and drafting the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.