Surgical treatment for recurrent solitary fibrous tumor invading atlas.
BACKGROUND
Solitary fibrous tumor (SFT), a rare neoplasm, usually originates in the pleura. Extrapleural SFTs occasionally occur in the head and neck.


METHODS
In this study, the extirpation of a rare case of recurrent SFT invading the atlas is discussed.


RESULTS
Ten years after surgical resection of an SFT in the right parapharyngeal space, the patient returned with a complaint of swelling sensation in the right neck. MRI and CT showed an enhanced lobulated mass invading the right lateral C1 vertebral body and canal and encasing the right vertebral artery. Extirpation of the recurrent tumor with a combined transcervical and midline posterior approach was successful. The surgical margin was negative for cancer and the postoperative course was uneventful.


CONCLUSION
Although an SFT is generally benign, recurrence can occur even after several years, therefore, careful long-term follow-up is essential for early detection. A combined transcervical and midline posterior approach proved useful for resection of the atlas body.
['Tsutsumi|Nao|N|', 'Kojima|Yasutaka|Y|', 'Nishida|Kotaro|K|', 'Maeno|Koichiro|K|', 'Kakutani|Kenichiro|K|', 'Kawakami|Fumi|F|', 'Kanzawa|Maki|M|', 'Itoh|Tomoo|T|', 'Otsuki|Naoki|N|', 'Nibu|Ken-ichi|K|']
D001270:Cervical Atlas D005500:Follow-Up Studies D006801:Humans D008279:Magnetic Resonance Imaging D008297:Male D009361:Neoplasm Invasiveness D009364:Neoplasm Recurrence, Local D009367:Neoplasm Staging D010610:Pharyngeal Neoplasms D035583:Rare Diseases D018570:Risk Assessment D054364:Solitary Fibrous Tumors D013125:Spinal Neoplasms D014057:Tomography, X-Ray Computed D016896:Treatment Outcome D055815:Young Adult
surgical treatment recurrent solitary fibrous tumor atlas combined approach