Surgical treatment outcomes of solitary fibrous tumors in the head and neck: A retrospective study - Université de Picardie Jules Verne Accéder directement au contenu
Article Dans Une Revue Journal of Cranio-Maxillofacial Surgery Année : 2023

Surgical treatment outcomes of solitary fibrous tumors in the head and neck: A retrospective study

Marti-Flich Lucas
  • Fonction : Auteur
Matthias Schlund
Constantinus Politis
  • Fonction : Auteur
Thomas Wojcik
  • Fonction : Auteur
Bernard Leyman

Résumé

Purpose The aim of this study was to better characterize head and neck solitary fibrous tumors (SFTs) and to evaluate surgical treatment. Materials and methods This retrospective study included all patients who presented with head and neck SFTs between 2003 and 2021 in four university hospitals. Clinical, radiological, and histological information and data regarding the treatments performed were collected. The risk of locoregional and distant metastases was calculated, and for orbital SFTs a specific classification was used. Results Overall, 34 patients were included. The majority of the SFTs were found in the oral cavity (n = 10), followed by the neck region (n = 8). The mean time to recurrence was 67.4 months. All patients underwent primary surgical resection. Recurrence was observed in five patients with a low risk of locoregional recurrence and distant metastasis. Conclusion The treatment of choice is complete resection. Recurrence seems to be highly correlated with positive surgical margins. The safety margin should be increased when removing the lesion, and long-term follow-up should be performed.
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Dates et versions

hal-04106706 , version 1 (25-05-2023)

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Marti-Flich Lucas, Matthias Schlund, S. Dapke, Constantinus Politis, Sébastien Aubert, et al.. Surgical treatment outcomes of solitary fibrous tumors in the head and neck: A retrospective study. Journal of Cranio-Maxillofacial Surgery, 2023, ⟨10.1016/j.jcms.2023.05.013⟩. ⟨hal-04106706⟩
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