Publications

Abstract

Purpose

Solitary fibrous tumours (SFT) in extra pleural locations are rare and have a predilection for body cavity sites or extra serosal soft tissue. Preoperative diagnosis of such tumours poses a clinical and pathological challenge because both radiological and cytological examinations are inconclusive. Surgical excision with immunoprofiling is frequently performed for accurate diagnosis and achieving definitive treatment. Very few cases of solitary fibrous tumours have been reported in the breast. Though rare, these lesions pose difficulties in preoperative diagnosis. Challenges related to diagnosis and the possible diagnostic dilemma of such an uncommon tumour are discussed in this study.

Methods

In this case report, we describe a case of a solitary fibrous tumour of the breast in a 50-year-old female.

Results

The patient was evaluated for the breast lump. Investigations including biopsy and PET CT were done, and the patient underwent surgery.

Conclusion

SFT even though rare should be considered as differential diagnosis in cases with biopsy showing spindle cell neoplasm, and proper preoperative work-up including immunohistochemistry has to be done to plan proper treatment and to avoid overtreating the patients.