Oral solitary fibrous tumors: A collaborative clinicopathologic study of 19 cases
Objective To report the clinicopathologic features of 19 oral solitary fibrous tumors (SFTs). Methods Clinical data were collected from the records of seven pathology services. All cases were re‐evaluated by HE staining and confirmed by immunohistochemistry. Results The series comprised 11 females (...
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| Veröffentlicht in: | Oral diseases 2024-07, Vol.30 (5), p.3188-3201 |
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| creator | Cunha, John Lennon Silva Cavalcante, Israel Leal Barros, Elton Fernandes Sousa Neto, Sebastião Silvério Cavalcante, Roberta Barroso Turatti, Eveline Mendonça, Elismauro Francisco Albuquerque‐Júnior, Ricardo Luiz Cavalcanti Anbinder, Ana Lia Fragata da Silva, Décio Duarte, Ivison Xavier Nonaka, Cassiano Francisco Weege Alves, Pollianna Muniz Almeida, Oslei Paes Andrade, Bruno Augusto Benevenuto |
| description | Objective
To report the clinicopathologic features of 19 oral solitary fibrous tumors (SFTs).
Methods
Clinical data were collected from the records of seven pathology services. All cases were re‐evaluated by HE staining and confirmed by immunohistochemistry.
Results
The series comprised 11 females (57.9%) and 8 males (42.1%), with a mean age of 47.3 ± 14.7 years (range: 22–71 years) and a 1.3:1 female‐to‐male ratio. Most tumors affected the buccal mucosa (n = 7; 36.8%) and presented clinically as an asymptomatic solitary submucosal well‐circumscribed nodule with coloration similar to the oral mucosa. Morphologically, most SFTs (n = 10; 52.6%) exhibited a classic hybrid pattern characterized by a well‐circumscribed proliferation of densely cellular areas alternating with hypocellular areas in a variably collagenous vascular stroma. Remnants of accessory salivary glands were observed in two cases (n = 2; 10.5%). All tumors were positive for STAT6 and CD34 (n = 19; 100%). Outcome information was available from 6 patients (31.6%), with clinical follow‐up ranging from 6 to 24 months (mean ± SD, 9.5 ± 6.8 months), and none developed local recurrence.
Conclusions
Oral SFTs are rare and often clinically misdiagnosed. Pathologists should consider SFT in the differential diagnosis of oral spindle cell tumors. Accurate diagnosis requires careful morphological evaluation supported by immunohistochemical analysis. |
| doi_str_mv | 10.1111/odi.14737 |
| format | Article |
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To report the clinicopathologic features of 19 oral solitary fibrous tumors (SFTs).
Methods
Clinical data were collected from the records of seven pathology services. All cases were re‐evaluated by HE staining and confirmed by immunohistochemistry.
Results
The series comprised 11 females (57.9%) and 8 males (42.1%), with a mean age of 47.3 ± 14.7 years (range: 22–71 years) and a 1.3:1 female‐to‐male ratio. Most tumors affected the buccal mucosa (n = 7; 36.8%) and presented clinically as an asymptomatic solitary submucosal well‐circumscribed nodule with coloration similar to the oral mucosa. Morphologically, most SFTs (n = 10; 52.6%) exhibited a classic hybrid pattern characterized by a well‐circumscribed proliferation of densely cellular areas alternating with hypocellular areas in a variably collagenous vascular stroma. Remnants of accessory salivary glands were observed in two cases (n = 2; 10.5%). All tumors were positive for STAT6 and CD34 (n = 19; 100%). Outcome information was available from 6 patients (31.6%), with clinical follow‐up ranging from 6 to 24 months (mean ± SD, 9.5 ± 6.8 months), and none developed local recurrence.
Conclusions
Oral SFTs are rare and often clinically misdiagnosed. Pathologists should consider SFT in the differential diagnosis of oral spindle cell tumors. Accurate diagnosis requires careful morphological evaluation supported by immunohistochemical analysis.</description><identifier>ISSN: 1354-523X</identifier><identifier>ISSN: 1601-0825</identifier><identifier>EISSN: 1601-0825</identifier><identifier>DOI: 10.1111/odi.14737</identifier><identifier>PMID: 37731190</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Antigens, CD34 - analysis ; Buccal mucosa ; Case studies ; CD34 antigen ; connective tissue diseases ; diagnosis ; Differential diagnosis ; Female ; Humans ; Immunohistochemistry ; Male ; Middle Aged ; Mouth Mucosa - pathology ; Mouth Neoplasms - pathology ; Oral diseases ; oral pathology ; Pathology ; Salivary gland ; solitary fibrous tumor ; Solitary Fibrous Tumors - pathology ; Stat6 protein ; STAT6 Transcription Factor - analysis ; Stroma ; Tumors ; Young Adult</subject><ispartof>Oral diseases, 2024-07, Vol.30 (5), p.3188-3201</ispartof><rights>2023 Wiley Periodicals LLC.</rights><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3137-90118d90b00799c105c335e3d8a2afa79dafcd97a5c87e9227d4d50834ae39c53</cites><orcidid>0000-0002-2509-7190 ; 0000-0002-6751-3279 ; 0000-0002-0794-4106 ; 0000-0003-2380-109X ; 0000-0003-3930-4274 ; 0000-0003-4444-7632 ; 0000-0002-1798-4339 ; 0000-0001-8890-8723 ; 0000-0003-1157-6198 ; 0000-0003-2002-8003 ; 0000-0003-1297-4032 ; 0000-0002-3259-606X ; 0000-0002-0679-8485 ; 0000-0001-9358-6634</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fodi.14737$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fodi.14737$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37731190$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cunha, John Lennon Silva</creatorcontrib><creatorcontrib>Cavalcante, Israel Leal</creatorcontrib><creatorcontrib>Barros, Elton Fernandes</creatorcontrib><creatorcontrib>Sousa Neto, Sebastião Silvério</creatorcontrib><creatorcontrib>Cavalcante, Roberta Barroso</creatorcontrib><creatorcontrib>Turatti, Eveline</creatorcontrib><creatorcontrib>Mendonça, Elismauro Francisco</creatorcontrib><creatorcontrib>Albuquerque‐Júnior, Ricardo Luiz Cavalcanti</creatorcontrib><creatorcontrib>Anbinder, Ana Lia</creatorcontrib><creatorcontrib>Fragata da Silva, Décio</creatorcontrib><creatorcontrib>Duarte, Ivison Xavier</creatorcontrib><creatorcontrib>Nonaka, Cassiano Francisco Weege</creatorcontrib><creatorcontrib>Alves, Pollianna Muniz</creatorcontrib><creatorcontrib>Almeida, Oslei Paes</creatorcontrib><creatorcontrib>Andrade, Bruno Augusto Benevenuto</creatorcontrib><title>Oral solitary fibrous tumors: A collaborative clinicopathologic study of 19 cases</title><title>Oral diseases</title><addtitle>Oral Dis</addtitle><description>Objective
To report the clinicopathologic features of 19 oral solitary fibrous tumors (SFTs).
Methods
Clinical data were collected from the records of seven pathology services. All cases were re‐evaluated by HE staining and confirmed by immunohistochemistry.
Results
The series comprised 11 females (57.9%) and 8 males (42.1%), with a mean age of 47.3 ± 14.7 years (range: 22–71 years) and a 1.3:1 female‐to‐male ratio. Most tumors affected the buccal mucosa (n = 7; 36.8%) and presented clinically as an asymptomatic solitary submucosal well‐circumscribed nodule with coloration similar to the oral mucosa. Morphologically, most SFTs (n = 10; 52.6%) exhibited a classic hybrid pattern characterized by a well‐circumscribed proliferation of densely cellular areas alternating with hypocellular areas in a variably collagenous vascular stroma. Remnants of accessory salivary glands were observed in two cases (n = 2; 10.5%). All tumors were positive for STAT6 and CD34 (n = 19; 100%). Outcome information was available from 6 patients (31.6%), with clinical follow‐up ranging from 6 to 24 months (mean ± SD, 9.5 ± 6.8 months), and none developed local recurrence.
Conclusions
Oral SFTs are rare and often clinically misdiagnosed. Pathologists should consider SFT in the differential diagnosis of oral spindle cell tumors. Accurate diagnosis requires careful morphological evaluation supported by immunohistochemical analysis.</description><subject>Adult</subject><subject>Aged</subject><subject>Antigens, CD34 - analysis</subject><subject>Buccal mucosa</subject><subject>Case studies</subject><subject>CD34 antigen</subject><subject>connective tissue diseases</subject><subject>diagnosis</subject><subject>Differential diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mouth Mucosa - pathology</subject><subject>Mouth Neoplasms - pathology</subject><subject>Oral diseases</subject><subject>oral pathology</subject><subject>Pathology</subject><subject>Salivary gland</subject><subject>solitary fibrous tumor</subject><subject>Solitary Fibrous Tumors - pathology</subject><subject>Stat6 protein</subject><subject>STAT6 Transcription Factor - analysis</subject><subject>Stroma</subject><subject>Tumors</subject><subject>Young Adult</subject><issn>1354-523X</issn><issn>1601-0825</issn><issn>1601-0825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE9LwzAYh4Mobk4PfgEJeNFDt6RpmsbbmP8GgyEoeAtpkmpGu8ykVfbtjXZ6EHwv73t4-PF7HwBOMRrjOBOn7RhnjLA9MMQ5wgkqUrofb0KzhKbkeQCOQlghhBkn6SEYEMYIxhwNwcPSyxoGV9tW-i2sbOldF2DbNc6HKziFytW1LJ2XrX03UNV2bZXbyPbV1e7FKhjaTm-hqyDmUMlgwjE4qGQdzMluj8DT7c3j7D5ZLO_ms-kiUQQTlnCEcaE5KhFinCuMqCKEGqILmcpKMq5lpTRnkqqCGZ6mTGeaooJk0hCuKBmBiz53491bZ0IrGhuUiW3XJr4g0iJnOONZlkb0_A-6cp1fx3aCRFUsz3NWROqyp5R3IXhTiY23TbQiMBJfnkX0LL49R_Zsl9iVjdG_5I_YCEx64MPWZvt_klhez_vITy4qhe4</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Cunha, John Lennon Silva</creator><creator>Cavalcante, Israel Leal</creator><creator>Barros, Elton Fernandes</creator><creator>Sousa Neto, Sebastião Silvério</creator><creator>Cavalcante, Roberta Barroso</creator><creator>Turatti, Eveline</creator><creator>Mendonça, Elismauro Francisco</creator><creator>Albuquerque‐Júnior, Ricardo Luiz Cavalcanti</creator><creator>Anbinder, Ana Lia</creator><creator>Fragata da Silva, Décio</creator><creator>Duarte, Ivison Xavier</creator><creator>Nonaka, Cassiano Francisco Weege</creator><creator>Alves, Pollianna Muniz</creator><creator>Almeida, Oslei Paes</creator><creator>Andrade, Bruno Augusto Benevenuto</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2509-7190</orcidid><orcidid>https://orcid.org/0000-0002-6751-3279</orcidid><orcidid>https://orcid.org/0000-0002-0794-4106</orcidid><orcidid>https://orcid.org/0000-0003-2380-109X</orcidid><orcidid>https://orcid.org/0000-0003-3930-4274</orcidid><orcidid>https://orcid.org/0000-0003-4444-7632</orcidid><orcidid>https://orcid.org/0000-0002-1798-4339</orcidid><orcidid>https://orcid.org/0000-0001-8890-8723</orcidid><orcidid>https://orcid.org/0000-0003-1157-6198</orcidid><orcidid>https://orcid.org/0000-0003-2002-8003</orcidid><orcidid>https://orcid.org/0000-0003-1297-4032</orcidid><orcidid>https://orcid.org/0000-0002-3259-606X</orcidid><orcidid>https://orcid.org/0000-0002-0679-8485</orcidid><orcidid>https://orcid.org/0000-0001-9358-6634</orcidid></search><sort><creationdate>202407</creationdate><title>Oral solitary fibrous tumors: A collaborative clinicopathologic study of 19 cases</title><author>Cunha, John Lennon Silva ; Cavalcante, Israel Leal ; Barros, Elton Fernandes ; Sousa Neto, Sebastião Silvério ; Cavalcante, Roberta Barroso ; Turatti, Eveline ; Mendonça, Elismauro Francisco ; Albuquerque‐Júnior, Ricardo Luiz Cavalcanti ; Anbinder, Ana Lia ; Fragata da Silva, Décio ; Duarte, Ivison Xavier ; Nonaka, Cassiano Francisco Weege ; Alves, Pollianna Muniz ; Almeida, Oslei Paes ; Andrade, Bruno Augusto Benevenuto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3137-90118d90b00799c105c335e3d8a2afa79dafcd97a5c87e9227d4d50834ae39c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Antigens, CD34 - analysis</topic><topic>Buccal mucosa</topic><topic>Case studies</topic><topic>CD34 antigen</topic><topic>connective tissue diseases</topic><topic>diagnosis</topic><topic>Differential diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mouth Mucosa - pathology</topic><topic>Mouth Neoplasms - pathology</topic><topic>Oral diseases</topic><topic>oral pathology</topic><topic>Pathology</topic><topic>Salivary gland</topic><topic>solitary fibrous tumor</topic><topic>Solitary Fibrous Tumors - pathology</topic><topic>Stat6 protein</topic><topic>STAT6 Transcription Factor - analysis</topic><topic>Stroma</topic><topic>Tumors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cunha, John Lennon Silva</creatorcontrib><creatorcontrib>Cavalcante, Israel Leal</creatorcontrib><creatorcontrib>Barros, Elton Fernandes</creatorcontrib><creatorcontrib>Sousa Neto, Sebastião Silvério</creatorcontrib><creatorcontrib>Cavalcante, Roberta Barroso</creatorcontrib><creatorcontrib>Turatti, Eveline</creatorcontrib><creatorcontrib>Mendonça, Elismauro Francisco</creatorcontrib><creatorcontrib>Albuquerque‐Júnior, Ricardo Luiz Cavalcanti</creatorcontrib><creatorcontrib>Anbinder, Ana Lia</creatorcontrib><creatorcontrib>Fragata da Silva, Décio</creatorcontrib><creatorcontrib>Duarte, Ivison Xavier</creatorcontrib><creatorcontrib>Nonaka, Cassiano Francisco Weege</creatorcontrib><creatorcontrib>Alves, Pollianna Muniz</creatorcontrib><creatorcontrib>Almeida, Oslei Paes</creatorcontrib><creatorcontrib>Andrade, Bruno Augusto Benevenuto</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Oral diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cunha, John Lennon Silva</au><au>Cavalcante, Israel Leal</au><au>Barros, Elton Fernandes</au><au>Sousa Neto, Sebastião Silvério</au><au>Cavalcante, Roberta Barroso</au><au>Turatti, Eveline</au><au>Mendonça, Elismauro Francisco</au><au>Albuquerque‐Júnior, Ricardo Luiz Cavalcanti</au><au>Anbinder, Ana Lia</au><au>Fragata da Silva, Décio</au><au>Duarte, Ivison Xavier</au><au>Nonaka, Cassiano Francisco Weege</au><au>Alves, Pollianna Muniz</au><au>Almeida, Oslei Paes</au><au>Andrade, Bruno Augusto Benevenuto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oral solitary fibrous tumors: A collaborative clinicopathologic study of 19 cases</atitle><jtitle>Oral diseases</jtitle><addtitle>Oral Dis</addtitle><date>2024-07</date><risdate>2024</risdate><volume>30</volume><issue>5</issue><spage>3188</spage><epage>3201</epage><pages>3188-3201</pages><issn>1354-523X</issn><issn>1601-0825</issn><eissn>1601-0825</eissn><abstract>Objective
To report the clinicopathologic features of 19 oral solitary fibrous tumors (SFTs).
Methods
Clinical data were collected from the records of seven pathology services. All cases were re‐evaluated by HE staining and confirmed by immunohistochemistry.
Results
The series comprised 11 females (57.9%) and 8 males (42.1%), with a mean age of 47.3 ± 14.7 years (range: 22–71 years) and a 1.3:1 female‐to‐male ratio. Most tumors affected the buccal mucosa (n = 7; 36.8%) and presented clinically as an asymptomatic solitary submucosal well‐circumscribed nodule with coloration similar to the oral mucosa. Morphologically, most SFTs (n = 10; 52.6%) exhibited a classic hybrid pattern characterized by a well‐circumscribed proliferation of densely cellular areas alternating with hypocellular areas in a variably collagenous vascular stroma. Remnants of accessory salivary glands were observed in two cases (n = 2; 10.5%). All tumors were positive for STAT6 and CD34 (n = 19; 100%). Outcome information was available from 6 patients (31.6%), with clinical follow‐up ranging from 6 to 24 months (mean ± SD, 9.5 ± 6.8 months), and none developed local recurrence.
Conclusions
Oral SFTs are rare and often clinically misdiagnosed. Pathologists should consider SFT in the differential diagnosis of oral spindle cell tumors. Accurate diagnosis requires careful morphological evaluation supported by immunohistochemical analysis.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>37731190</pmid><doi>10.1111/odi.14737</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-2509-7190</orcidid><orcidid>https://orcid.org/0000-0002-6751-3279</orcidid><orcidid>https://orcid.org/0000-0002-0794-4106</orcidid><orcidid>https://orcid.org/0000-0003-2380-109X</orcidid><orcidid>https://orcid.org/0000-0003-3930-4274</orcidid><orcidid>https://orcid.org/0000-0003-4444-7632</orcidid><orcidid>https://orcid.org/0000-0002-1798-4339</orcidid><orcidid>https://orcid.org/0000-0001-8890-8723</orcidid><orcidid>https://orcid.org/0000-0003-1157-6198</orcidid><orcidid>https://orcid.org/0000-0003-2002-8003</orcidid><orcidid>https://orcid.org/0000-0003-1297-4032</orcidid><orcidid>https://orcid.org/0000-0002-3259-606X</orcidid><orcidid>https://orcid.org/0000-0002-0679-8485</orcidid><orcidid>https://orcid.org/0000-0001-9358-6634</orcidid></addata></record> |
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| ispartof | Oral diseases, 2024-07, Vol.30 (5), p.3188-3201 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Antigens, CD34 - analysis Buccal mucosa Case studies CD34 antigen connective tissue diseases diagnosis Differential diagnosis Female Humans Immunohistochemistry Male Middle Aged Mouth Mucosa - pathology Mouth Neoplasms - pathology Oral diseases oral pathology Pathology Salivary gland solitary fibrous tumor Solitary Fibrous Tumors - pathology Stat6 protein STAT6 Transcription Factor - analysis Stroma Tumors Young Adult |
| title | Oral solitary fibrous tumors: A collaborative clinicopathologic study of 19 cases |
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