Skip to main content

CASE REPORT article

Front. Med.
Sec. Obstetrics and Gynecology
Volume 11 - 2024 | doi: 10.3389/fmed.2024.1456221
This article is part of the Research Topic Diagnosis and Management of Gynecological Pathology View all articles

Case Report: Solitary Fibrous Tumor of the Paracervical Uterus Combined with Vaginal Wall Adenocarcinoma

Provisionally accepted
Xiaowei Zhang Xiaowei Zhang Jun Chen Jun Chen *Junqiang Du Junqiang Du *Jiajia Ying Jiajia Ying *
  • Wenzhou Medical University, Wenzhou, China

The final, formatted version of the article will be published soon.

    Background: Solitary fibrous tumors are rare mesenchymal tumors that typically occur in the pleura.Solitary fibrous cervical neoplasms are uncommon. We report the first case of a patient who underwent total hysterectomy for vaginal wall adenocarcinoma and was found to have a concurrent solitary fibrous tumor in the paracervical-uterus.Case presentation: A 51-year-old woman was admitted to our hospital due to contact bleeding. A gynecological examination revealed nodules of 3.0 × 1.0 cm on the vaginal wall, and a colposcopy with biopsy revealed adenocarcinoma of the vaginal wall. After the recommended staging examinations, the patient underwent total hysterectomy, double adnexectomy, pelvic lymph node dissection, and vaginal wall resection. During surgery, a nodule measuring approximately 2 × 2 cm was found in the middle of the mass in the left paracervical region. Subsequent postoperative histopathological examination confirmed an solitary fibrous tumor of the uterine cervix with adenocarcinoma of the vaginal wall. The patient was followed up for 46 months after hospitalization, and no recurrence or distant metastases were observed.In rare cases, solitary fibrous tumors may form large masses in the cervical or vaginal wall. They can easily be misdiagnosed as benign or malignant cervical tumors before and during surgery. Postoperative pathology and immunohistochemistry are helpful for diagnosis. Most solitary fibrous cervical tumors are benign,occasionally with low malignant potential, and surgical treatment is feasible and effective.

    Keywords: Solitary fibrous tumor, mesenchymal tumors, Pleura, solitary fibrous cervical neoplasms, Vaginal wall adenocarcinoma, Total hysterectomy

    Received: 28 Jun 2024; Accepted: 30 Jul 2024.

    Copyright: © 2024 Zhang, Chen, Du and Ying. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Jun Chen, Wenzhou Medical University, Wenzhou, China
    Junqiang Du, Wenzhou Medical University, Wenzhou, China
    Jiajia Ying, Wenzhou Medical University, Wenzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.