Role of Ultrasound in the Diagnosis Approach of Malignant Solitary Fibrous Tumor

This is a case study of solitary fibrous tumor (SFT), which is a rare neoplasm of mesenchymal origin that comprises less than 2% of all soft tissue tumors. SFT located in the extremities, especially in the legs, has a high possibility of developing malignancy. The case study presented demonstrates a sonogram which identified an inhomogenous hypoechoic solid lesion located in the subcutaneous layer of the femoral region. The use of Doppler showed hypervascular activity in the hyperechoic area. This finding was consistent with malignant SFT and confirmed by histopathologic exam. The possibility of an SFT should be a diagnostic consideration with any large soft tissue mass in extremities. This is a further consideration with the diagnostic medical sonography findings demonstrating a hypoechoic, well-defined mass that has a large collateral feeding vessel and displaces the adjacent structures.