Malignant Recurrent Orbital Solitary Fibrous Tumor Pol JN, Patil DB, Desai SS, Calcuttawala AB, - Indian J Pathol Microbiol

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Malignant Recurrent Orbital Solitary Fibrous Tumor Jaydeep N Pol¹, Dipti B Patil², Sharad S Desai³, Adnan B Calcuttawala⁴ ¹ Department of Pathology, Mahatma Gandhi Cancer Hospital, Miraj, Maharashtra, India ² Department of Maxillofacial Surgery, Mahatma Gandhi Cancer Hospital, Miraj, Maharashtra, India ³ Department of Oncosurgery, Mahatma Gandhi Cancer Hospital, Miraj, Maharashtra, India ⁴ Department of Radiation Oncology, Mahatma Gandhi Cancer Hospital, Miraj, Maharashtra, India Correspondence Address: Jaydeep N Pol, Department of Pathology, Mahatma Gandhi Cancer Hospital, Miraj – 416 410, Maharashtra India Source of Support: None, Conflict of Interest: None DOI: 10.4103/ijpm.ijpm_713_21

Solitary fibrous tumor (SFT) is a rare mesenchymal tumor of fibroblastic origin commonly occurring in pleura. It can occur at many extrapleural sites but is rare in orbit. Most cases are benign and recurrence is not unusual in the head and neck and orbit and is usually due to incomplete surgical excision. However, malignant transformation (MT) in orbital SFT is extremely unusual. We present a case of orbital SFT in adult male who developed recurrence with MT eight years after initial surgical excision. He underwent left orbital exenteration. The recurrent tumor revealed features of malignancy with areas exhibiting morphology typical of SFT. The immunochemistry confirmed the diagnosis of SFT with MT. The patient was given adjuvant radiation and was disease free for the last 18 months. Identification of malignancy in orbital SFT is important for the patient to receive appropriate postoperative treatment, as seen in the present case.

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