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Article Dans Une Revue Journal of Cranio-Maxillofacial Surgery Année : 2023

Surgical treatment outcomes of solitary fibrous tumors in the head and neck: A retrospective study

Surgical treatment outcomes of solitary fibrous tumors in the head and neck: A retrospective study.

Marti-Flich Lucas
  • Fonction : Auteur
Matthias Schlund
Constantinus Politis
  • Fonction : Auteur
Thomas Wojcik
  • Fonction : Auteur
Bernard Leyman

Résumé

The aim of this study was to better characterize head and neck solitary fibrous tumors (SFTs) and to evaluate surgical treatment. This retrospective study included patients who presented with head and neck SFTs. Clinical, radiological, and histological information and data regarding the treatments performed were collected. The risk of locoregional and distant metastases was calculated, and for orbital SFTs a specific classification was used. Overall, 34 patients were included. The majority of the SFTs were found in the oral cavity (n = 10), followed by the neck region (n = 8). The mean time to recurrence was 67.4 months. All patients underwent primary surgical resection. Recurrence was observed in five patients with a low risk of locoregional recurrence and distant metastasis. The treatment of choice is complete resection. Recurrence seems to be highly correlated with positive surgical margins. The safety margin should be increased when removing the lesion, and long-term follow-up should be performed.
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hal-04106706 , version 1 (29-04-2024)

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Marti-Flich Lucas, Matthias Schlund, S. Dapke, Constantinus Politis, Sébastien Aubert, et al.. Surgical treatment outcomes of solitary fibrous tumors in the head and neck: A retrospective study. Journal of Cranio-Maxillofacial Surgery, 2023, Journal of Cranio-Maxillofacial Surgery, ⟨10.1016/j.jcms.2023.05.013⟩. ⟨hal-04106706⟩
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