Solitary Fibrous Tumor of the Sinonasal Cavity: CT and MR Imaging Findings

Overview

Journal AJNR Am J Neuroradiol

Specialty Neurology

Date 2013 Feb 16

PMID 23413243

Citations 14

Authors

B T Yang

Z L Song

Y Z Wang

J Y Dong

Z C Wang

Affiliations

Soon will be listed here.

Abstract

SFT is a rare lesion of the sinonasal cavity. We retrospectively reviewed 5 patients with histopathologically proved sinonasal SFTs to determine their CT and MR imaging features. All patients underwent paranasal sinus CT and MR imaging. Four SFTs occurred in the nasal cavity, and 1, in the maxillary sinus. All SFTs had well-defined margins, and the mean maximum diameter was 55 mm. On nonenhanced CT, 5 SFTs appeared homogeneously isoattenuating to gray matter. The most common manifestations of bony involvement were bony remodeling and thinning. On MR imaging, 5 SFTs were isointense to gray matter on T1-weighted images, and the lesions were isointense in 3 and hypointense in 2 patients on T2-weighted images. The lesions showed heterogeneously marked enhancement on postenhanced MR images. Four patients underwent dynamic contrast-enhanced MR imaging, and the TICs showed a washout pattern. A familiarity with the imaging findings of sinonasal SFT may help to diagnose this entity.

Citing Articles

Solitary fibrous tumors: radiologic features with clinical and histopathologic correlation.

Xiao Y, Chen J, Yang W, Yan H, Chen R, Li Y Front Oncol. 2025; 15:1510059.

PMID: 40027129 PMC: 11867943. DOI: 10.3389/fonc.2025.1510059.

MRI Characteristics for Distinguishing Solitary Fibrous Tumor From Desmoid Tumor.

Kaga T, Kato H, Kawaguchi M, Kanayama T, Nagano A, Omata S Korean J Radiol. 2025; 26(2):169-179.

PMID: 39898397 PMC: 11794291. DOI: 10.3348/kjr.2024.0885.

Solitary Fibrous Tumor of Nasal Cavity: A Case Report.

Jabbar F, Afzal Y, Wasif M, Akhtar S, Zaidi M, Qadri A Indian J Otolaryngol Head Neck Surg. 2024; 76(3):2910-2914.

PMID: 38883476 PMC: 11169416. DOI: 10.1007/s12070-024-04538-6.

Benign Spindle Cell Lesion of the Nasal Cavity: A Rare Presentation of Solitary Fibrous Tumor.

Vijayasundaram S, Agathiyanathan V, Karthikeyan P, Ravichandran K Cureus. 2024; 16(5):e60220.

PMID: 38868242 PMC: 11168749. DOI: 10.7759/cureus.60220.

Solitary fibrous tumor in the saddle area treated with neuroendoscopic surgery and proton therapy: A case report and literature review.

Ma M, Gong Y, Tang X, Deng P, Qian J, Hu X Oncol Lett. 2023; 26(6):505.

PMID: 37920432 PMC: 10618926. DOI: 10.3892/ol.2023.14092.

References

Kim T, Brunberg J, Pearson J, Ross D . Solitary fibrous tumor of the paranasal sinuses: CT and MR appearance. AJNR Am J Neuroradiol. 1996; 17(9):1767-72. PMC: 8338285. View

Takasaki K, Watanabe T, Hayashi T, Kinoshita N, Kumagami H, Takahashi H . Solitary fibrous tumor arising from the sphenoid sinus. Case Rep Med. 2009; 2009:316042. PMC: 2728605. DOI: 10.1155/2009/316042. View

Hisatomi M, Asaumi J, Yanagi Y, Unetsubo T, Maki Y, Murakami J . Diagnostic value of dynamic contrast-enhanced MRI in the salivary gland tumors. Oral Oncol. 2007; 43(9):940-7. DOI: 10.1016/j.oraloncology.2006.11.009. View

Kodama S, Fujita K, Suzuki M . Solitary fibrous tumor in the maxillary sinus treated by endoscopic medial maxillectomy. Auris Nasus Larynx. 2008; 36(1):100-3. DOI: 10.1016/j.anl.2008.01.001. View

Janjua A, Sklar M, MacMillan C, Vescan A, Witterick I . Endoscopic resection of solitary fibrous tumors of the nose and paranasal sinuses. Skull Base. 2012; 21(2):129-34. PMC: 3312588. DOI: 10.1055/s-0031-1275259. View

Kim H, Lee H, Seo J, Kim H, Shin J, Jeong A . MR imaging of solitary fibrous tumors in the head and neck. Korean J Radiol. 2005; 6(3):136-42. PMC: 2685036. DOI: 10.3348/kjr.2005.6.3.136. View

Pasquini E, Cantaroni C, Salfi N, Tamburini G, Marchi C, Sciarretta V . Endoscopic treatment of an ethmoidal solitary fibrous tumour. J Laryngol Otol. 2003; 117(11):889-91. DOI: 10.1258/002221503322542926. View

BATSAKIS J, Hybels R, El-Naggar A . Solitary fibrous tumor. Ann Otol Rhinol Laryngol. 1993; 102(1 Pt 1):74-6. DOI: 10.1177/000348949310200114. View

Abe T, Murakami A, Inoue T, Ohde S, Yamaguchi T, Watanabe K . Solitary fibrous tumor arising in the sphenoethmoidal recess: a case report and review of the literature. Auris Nasus Larynx. 2005; 32(3):285-9. DOI: 10.1016/j.anl.2005.01.003. View

10.

Alobid I, Alos L, Blanch J, Benitez P, Bernal-Sprekelsen M, Mullol J . Solitary fibrous tumour of the nasal cavity and paranasal sinuses. Acta Otolaryngol. 2003; 123(1):71-4. DOI: 10.1080/003655402000028052. View

11.

Zukerberg L, Rosenberg A, Randolph G, Pilch B, Goodman M . Solitary fibrous tumor of the nasal cavity and paranasal sinuses. Am J Surg Pathol. 1991; 15(2):126-30. DOI: 10.1097/00000478-199102000-00004. View

12.

Morales-Cadena M, Zubiaur F, Alvarez R, Madrigal J, Zarate-Osorno A . Solitary fibrous tumor of the nasal cavity and paranasal sinuses. Otolaryngol Head Neck Surg. 2006; 135(6):980-2. DOI: 10.1016/j.otohns.2005.10.042. View

13.

Stringfellow H, Khan I, Sissons M . Solitary fibrous tumour arising in the nasal cavity: report of a case. J Laryngol Otol. 1996; 110(5):468-70. DOI: 10.1017/s0022215100134000. View

14.

Dalley R . Fibrous histiocytoma and fibrous tissue tumors of the orbit. Radiol Clin North Am. 1999; 37(1):185-94. DOI: 10.1016/s0033-8389(05)70086-5. View

15.

Ganly I, Patel S, Stambuk H, Coleman M, Ghossein R, Carlson D . Solitary fibrous tumors of the head and neck: a clinicopathologic and radiologic review. Arch Otolaryngol Head Neck Surg. 2006; 132(5):517-25. DOI: 10.1001/archotol.132.5.517. View

16.

Kohmura T, Nakashima T, Hasegawa Y, Matsuura H . Solitary fibrous tumor of the paranasal sinuses. Eur Arch Otorhinolaryngol. 1999; 256(5):233-6. DOI: 10.1007/s004050050148. View

17.

Furze A, Peng Y, Myers L . Pathology case quiz 2. Solitary fibrous tumor of the nasal cavity and ethmoid sinus with intracranial extension. Arch Otolaryngol Head Neck Surg. 2008; 134(3):334, 336-7. DOI: 10.1001/archotol.134.3.334. View

18.

Yabuuchi H, Fukuya T, Tajima T, Hachitanda Y, Tomita K, Koga M . Salivary gland tumors: diagnostic value of gadolinium-enhanced dynamic MR imaging with histopathologic correlation. Radiology. 2003; 226(2):345-54. DOI: 10.1148/radiol.2262011486. View

19.

Hicks D, Moe K . Nasal solitary fibrous tumor arising from the anterior cranial fossa. Skull Base. 2005; 14(4):203-7. PMC: 1151693. DOI: 10.1055/s-2004-860951. View

20.

Konstantinidis I, Triaridis S, Triaridis A, Pantzaki A . A rare case of solitary fibrous tumor of the nasal cavity. Auris Nasus Larynx. 2003; 30(3):303-5. DOI: 10.1016/s0385-8146(03)00064-6. View