2019•Journal of the Korean Society of RadiologyOpen access

CT and MRI Features of Solitary Fibrous Tumor of the Liver: A Case Report

Yoo Kyeong Nah, Sang Soo Shin, Suk Hee Heo, Yong Yeon Jeong

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Abstract

Solitary fibrous tumors (SFTs) are a unique group of soft tissue tumors originating from fibroblastic or myofibroblastic tissue.SFTs rarely occur in the liver, with less than 30 cases reported in the literature.We report a case of SFT of the liver presenting unique imaging features on CT and MRI.A 52-year-old woman presented with an incidentally detected hepatic mass that showed homogeneous strong enhancement, starting from the arterial phase until the delayed phase images on CT.On the T2-weighted MR image, the mass was heterogeneously hyperintense with multifocal hypointense dots and bands within the mass.The mass was microscopically characterized by bland-looking, ovoid to spindle shaped cells with stromal and perivascular hyalinization.Immunohistochemical studies showed reactivity for CD34.

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Solitary fibrous tumors (SFTs) are a unique group of soft tissue tumors originating from fibroblastic or myofibroblastic tissue.SFTs rarely occur in the liver, with less than 30 cases reported in the literature.We report a case of SFT of the liver presenting unique imaging features on CT and MRI.A 52-year-old woman presented with an incidentally detected hepatic mass that showed homogeneous strong enhancement, starting from the arterial phase until the delayed phase images on CT.On the T2-weighted MR image, the mass was heterogeneously hyperintense with multifocal hypointense dots and bands within the mass.The mass was microscopically characterized by bland-looking, ovoid to spindle shaped cells with stromal and perivascular hyalinization.Immunohistochemical studies showed reactivity for CD34.

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Available abstract

Solitary fibrous tumors (SFTs) are a unique group of soft tissue tumors originating from fibroblastic or myofibroblastic tissue.SFTs rarely occur in the liver, with less than 30 cases reported in the literature.We report a case of SFT of the liver presenting unique imaging features on CT and MRI.A 52-year-old woman presented with an incidentally detected hepatic mass that showed homogeneous strong enhancement, starting from the arterial phase until the delayed phase images on CT.On the T2-weighted MR image, the mass was heterogeneously hyperintense with multifocal hypointense dots and bands within the mass.The mass was microscopically characterized by bland-looking, ovoid to spindle shaped cells with stromal and perivascular hyalinization.Immunohistochemical studies showed reactivity for CD34.

Key concepts: Medicine, CD34, Solitary fibrous tumor, Hyaline, Pathology, Soft tissue, Homogeneous, Immunohistochemistry

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