IMPROVEMENT OF SURGICAL TACTICS FOR THE TREATMENT OF MENINGEAL SOLITARY FIBROUS TUMORS OF FALX
Keywords:
solitary fibrous tumor, hemangiopericytoma, combined exoscopic and endoscopic interhemispheric access.Abstract
The article analyzes data from 33 literature sources, which describe in detail the latest advances in medical optical technologies, including 3D exoscopes and high-resolution endoscopes, which allow performing these procedures using minimally invasive "keyhole" approaches for solitary fibrous tumors (SFT) and hemangiopericytomas (HPC), which are a rare type of tumor formed from mesenchymal cells. The literature describes SFT/HCP CNS of various localization and their treatment, but nowhere is there any mention of combined exoscopic and endoscopic interhemispheric access through 2 surgical corridors.
In this article, we also reported on a clinical case of a 47-year-old patient with deep-seated large SFTs/HPCs of the cerebral sickle, which were completely removed using a new simultaneous anterior exoscopic and posterior endoscopic interhemispheric access through 2 surgical corridors. An exoscope was used for the anterior interhemispheric approach, and an endoscope was used for the posterior interhemispheric fissure. This approach allows you to safely and effectively remove the tumor with minimal complications. The article describes the technique and stages of this access. The details of this clinical case have been discussed in detail. This is the first described clinical case of combined exoscopic and endoscopic interhemispheric access using 2 surgical corridors in neurosurgical practice.
The purpose of this method is to improve the results of surgical treatment and reduce complications after the removal of meningeal solitary fibrous Falx tumors by applying the optimal variant of surgical intervention with the use of a new simultaneous anterior exoscopic and posterior endoscopic interhemispheric access through 2 surgical corridors, especially when they are located deeply.
References
Kaya EA, Carlson JD, Thomas CJ, Wagner AE, Fairbanks RK, Lamoreaux WT, Lee CM. Single Solitary Fibrous Tumor Brain Metastasis in a Patient with Simultaneous Adenocarcinoma of the Lung: Case Report and Review of the Literature. Case Rep Med. 2020 Apr 7;2020:3938270. doi: 10.1155/2020/3938270. PMID: 32318112; PMCID: PMC7166291.
Bisceglia M, Galliani C, Giannatempo G, Lauriola W, Bianco M, D'angelo V, Pizzolitto S, Vita G, Pasquinelli G, Magro G, Dor DB. Solitary fibrous tumor of the central nervous system: a 15-year literature survey of 220 cases (August 1996-July 2011). AdvAnatPathol. 2011 Sep;18(5):356-92. doi: 10.1097/PAP.0b013e318229c004. PMID: 21841406.
Gengler C, Guillou L. Solitary fibrous tumour and haemangiopericytoma: evolution of a concept. Histopathology. 2006;48:63–74.
Sun P, Li ZJ, Wang CQ, Li YJ, Yang XS, Deng WS. Primary anaplastic solitary fibrous tumor of the tentorium cerebelli. J ClinNeurosci. 2011 Aug;18(8):1116-8. doi: 10.1016/j.jocn.2010.11.035. Epub 2011 Jun 22. PMID: 21696961.
Qiyan Lin, Jiabin Zhu, and Xiaofeng Zhang. (2023). Solitary fibrous tumor of the nervous system invading and penetrating the skull: A case report, Oncology Letters 25 (81)https://doi.org/10.3892/ol.2023.13667
Choi J, Kim J, Cho I, Shin J. Central Nervous System Solitary Fibrous Tumor/Hemangiopericytoma Penetrating the Skull Bone: An Unusual Presentation. World Neurosurg. 2020 Sep;141:8-13. doi: 10.1016/j.wneu.2020.05.189. Epub 2020 May 28. PMID: 32474097.
Benoit M, Janzer RC, Regli L. Bifrontal solitary fibrous tumor of the meninges. Surg Neurol Int. 2010 Jul 29;1:35. doi: 10.4103/2152-7806.66852. PMID: 20847916; PMCID: PMC2940095.
Wang Y, Zhang J, Liu Q, Liu F, Zhu X, Zhang J. Solitary fibrous tumor of the pineal region with delayed ectopic intracranial metastasis: A case report and review of the literature. Medicine (Baltimore). 2019 May;98(21):e15737. doi: 10.1097/MD.0000000000015737. PMID: 31124953; PMCID: PMC6571265.
Mekni A, Kourda J, Hammouda KB, Tangour M, Kchir N, Zitouna M, Haouet S. Solitary fibrous tumour of the central nervous system: pathological study of eight cases and review of the literature. Pathology. 2009;41(7):649-54. doi: 10.3109/00313020903071439. PMID: 19672786.
Yamaguchi J, Motomura K, Ohka F, Aoki K, Tanahashi K, Hirano M, Nishikawa T, Shimizu H, Wakabayashi T, Natsume A. Spontaneous Tumor Regression of Intracranial Solitary Fibrous Tumor Originating From the Medulla Oblongata: A Case Report and Literature Review. World Neurosurg. 2019 Oct;130:400-404. doi: 10.1016/j.wneu.2019.07.052. Epub 2019 Jul 18. PMID: 31326640.
Nishii T, Nagashima Y, Nishimura Y, Ito H, Oyama T, Matsuo M, Sakakibara A, Shimada S, Saito R. Two cases of solitary fibrous tumor/hemangiopericytoma with different clinical features according to the World Health Organization classification: case report and review of the literature. J Spine Surg. 2021 Dec;7(4):532-539. doi: 10.21037/jss-21-83. PMID: 35128128; PMCID: PMC8743290.
Freiser ME, Castaño JE, Whittington EE, Arnold DJ, Sidani CA. Solitary fibrous tumor of the infratemporal fossa. J Radiol Case Rep. 2014 Dec 31;8(12):1-8. doi: 10.3941/jrcr.v8i12.1742. PMID: 25926911; PMCID: PMC4394973.
Yan H, Luo K, Liu B, Kang J. A solitary fibrous tumor with concurrent meningioma at the same site: A case report and review of the literature. Oncol Lett. 2016 Jun;11(6):3655-3659. doi: 10.3892/ol.2016.4486. Epub 2016 Apr 20. PMID: 27284369; PMCID: PMC4887940.
Johnson MD, Powell SZ, Boyer PJ, Weil RJ, Moots PL. Dural lesions mimicking meningiomas. Hum Pathol. 2002 Dec;33(12):1211-26. doi: 10.1053/hupa.2002.129200. PMID: 12514791.
Maran-Gonzalez A, Laquerrière A, Bigi N, Develay-Morice JE, Rouleau C. Posterior fossa solitary fibrous tumour: report of a fetal case and review of the literature. J Neurooncol. 2011 Jan;101(2):297-300. doi: 10.1007/s11060-010-0241-6. Epub 2010 Jun 6. PMID: 20526796.
Carneiro SS, Scheithauer BW, Nascimento AG, Hirose T, Davis DH. Solitary fibrous tumor of the meninges: a lesion distinct from fibrous meningioma. A clinicopathologic and immunohistochemical study. Am J ClinPathol. 1996 Aug;106 (2):217-24. doi: 10.1093/ajcp/106.2.217. PMID: 8712177.
Perry A, Scheithauer BW, Nascimento AG. The immunophenotypic spectrum of meningeal hemangiopericytoma: a comparison with fibrous meningioma and solitary fibrous tumor of meninges. Am J SurgPathol. 1997 Nov;21(11):1354-60. doi: 10.1097/00000478-199711000-00010. PMID: 9351573.
Cummings TJ, Burchette JL, McLendon RE. CD34 and dural fibroblasts: the relationship to solitary fibrous tumor and meningioma. ActaNeuropathol. 2001 Oct;102(4):349-54. doi: 10.1007/s004010100389. PMID: 11603810.
Nakahara, K., Yamada, M., Shimizu, S., &Fujii, K. (2006). Stereotactic radiosurgery as adjuvant treatment for residual solitary fibrous tumor, Journal of Neurosurgery JNS, 105(5), 775-776.
Cao L, Zhang X, Wang Y, Bao Y, Tang F. A case of solitary fibrous tumor/hemangiopericytoma in the central nervous system with papillary morphology. Neuropathology. 2019 Apr;39(2):141-146. doi: 10.1111/neup.12541. Epub 2019 Mar 12. PMID: 30864263.
Da Silva NA Jr, Reis F, De Souza Queiroz L, Sanmartin D, Bonneville F. Morphological and multimodal MRI aspects of a solitary fibrous tumor of the cerebral falx. J Neuroradiol. 2013 Jul;40(3):223-5. doi: 10.1016/j.neurad.2012.05.011. Epub 2012 Dec 20. PMID: 23260569.
Schirmer, C. M., & Heilman, C. B. (2011). Hemangiopericytomas of the skull base, Neurosurgical Focus FOC, 30(5), E10.
Xiao D, Shi J, Zhou M, Yan L, Zhao Z, Hu T, Guo X, Zhao H, Yan P, Jiang X. Tumor volume and the dural tail sign enable the differentiation of intracranial solitary fibrous tumor/hemangiopericytoma from high-grade meningioma. ClinNeurolNeurosurg. 2021 Aug;207:106769. doi: 10.1016/j.clineuro.2021.106769. Epub 2021 Jun 19. PMID: 34171585.
Ahmad Z, Tariq MU, Din NU. Meningeal solitary fibrous tumor/hemangiopericytoma: Emphasizing on STAT 6 immunohistochemistry with a review of literature. Neurol India 2018;66:1419-26
Gengler C, Guillou L. Solitary fibrous tumour and haemangiopericytoma: evolution of a concept. Histopathology. 2006;48:63–74.
Wang Y, Zhang J, Liu Q, Liu F, Zhu X, Zhang J. Solitary fibrous tumor of the pineal region with delayed ectopic intracranial metastasis: A case report and review of the literature. Medicine (Baltimore). 2019 May;98(21):e15737. doi: 10.1097/MD.0000000000015737. PMID: 31124953; PMCID: PMC6571265.
Bisceglia M, Galliani C, Giannatempo G, Lauriola W, Bianco M, D'angelo V, Pizzolitto S, Vita G, Pasquinelli G, Magro G, Dor DB. Solitary fibrous tumor of the central nervous system: a 15-year literature survey of 220 cases (August 1996-July 2011). AdvAnatPathol. 2011 Sep;18(5):356-92. doi: 10.1097/PAP.0b013e318229c004. PMID: 21841406.
Sun Z, Li F, Cai X, Jiang Z. Intracranial Primary Malignant Solitary Fibrous Tumor/Hemangiopericytoma Masquerading as Meningioma: Report of a Rare Case. Int J Gen Med. 2020 Oct 29;13:963-967. doi: 10.2147/IJGM.S279483. PMID: 33149660; PMCID: PMC7605615.
Choi J, Kim J, Cho I, Shin J. Central Nervous System Solitary Fibrous Tumor/Hemangiopericytoma Penetrating the Skull Bone: An Unusual Presentation. World Neurosurg. 2020 Sep;141:8-13. doi: 10.1016/j.wneu.2020.05.189. Epub 2020 May 28. PMID: 32474097.
Da Silva NA Jr, Reis F, De Souza Queiroz L, Sanmartin D, Bonneville F. Morphological and multimodal MRI aspects of a solitary fibrous tumor of the cerebral falx. J Neuroradiol. 2013 Jul;40(3):223-5. doi: 10.1016/j.neurad.2012.05.011. Epub 2012 Dec 20. PMID: 23260569.
Wang, L., Yu, J., Shu, D. et al. Primary endodermal hemangiopericytoma/solitary fibrous tumor of the cervical spine: a case report and literature review. BMC Surg 21, 405 (2021). https://doi.org/10.1186/s12893-021-01399-6
Li X, Tan L, Ouyang X, Jiang J, Huang S, Huang Y, Li S, Chen D. Magnetic resonance features of meningeal solitary fibrous tumors. Oncol Lett. 2018 Jun;15(6):8825-8832. doi: 10.3892/ol.2018.8426. Epub 2018 Apr 4. PMID: 29805622; PMCID: PMC5950533
Watanabe T, Iwami K, Kishida Y, Nagatani T, Yatsuya H, Miyachi S. Combined Exoscopic and Endoscopic Two-Step Keyhole Approach for Intracranial Meningiomas. CurrOncol. 2022 Jul 29;29(8):5370-5382. doi: 10.3390/curroncol29080426. PMID: 36005164; PMCID: PMC9406588.
