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KMID : 1103720230840010304
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Journal of the Korean Society of Radiology
2023 Volume.84 No. 1 p.304 ~ p.310
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Extrapleural Malignant Solitary Fibrous Tumor Presenting as Invasive Bilateral Paravertebral Tumors: A Case Report
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Jeong Je-Won
Jin So-Young
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Abstract
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Solitary fibrous tumors (SFTs) commonly arise from the pleura and are mostly benign. However, they may develop anywhere in the body, and 10%?30% are malignant. Classically, SFTs appear as solitary enhancing masses, and bilateral presentation is extremely rare. In this case, an 88-year-old male presented with back pain and a history of chronic tuberculous empyema. Imaging studies revealed bilateral paravertebral masses with aggressive radiologic features, which were speculatively presumed as thoracic malignancies in association with chronic empyema. Herein, we report a unique case of bilateral paravertebral malignant SFTs that were accurately diagnosed with a CT-guided coaxial needle biopsy.
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KEYWORD
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Solitary Fibrous Tumor, Spinal Neoplasm, Multidetector Computed Tomography, Magnetic Resonance Imaging
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