Adverse Outcome of a Solitary Fibrous Tumor Originating in the Bladder

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Bibliographic Details
Title: Adverse Outcome of a Solitary Fibrous Tumor Originating in the Bladder
Authors: Takato Nishino, Masaki Shimbo, Eri Fukagawa, Kazutaka Narimoto, Jun Hashimoto, Shin Ogita, Naoki Kanomata, Kazunori Hattori, Fumiyasu Endo
Source: IJU Case Rep
IJU Case Reports, Vol 8, Iss 3, Pp 231-235 (2025)
Publisher Information: Wiley, 2025.
Publication Year: 2025
Subject Terms: robot‐assisted surgery, solitary fibrous tumor, Case Report, RC870-923, poor prognosis, metastases, urinary bladder, Diseases of the genitourinary system. Urology
Description: IntroductionSolitary fibrous tumors originating in the bladder are extremely rare. While generally associated with favorable outcomes, some show invasive behavior. We report a case of a solitary fibrous tumor originating in the bladder that was treated with multimodal therapy.Case PresentationA 68‐year‐old male presented with urinary retention. Imaging revealed a well‐defined 6.0 cm mass compressing the prostate. A biopsy suggested stromal sarcoma. Robot‐assisted cystoprostatectomy was performed. Pathological examination revealed a solitary fibrous tumor originating from the bladder invading the prostate. Despite negative margins, lung nodules and a pelvic mass appeared 43 months postoperatively. Initially, these were treated with pazopanib, followed by doxorubicin and eribulin due to disease progression. The patient eventually transitioned to palliative care and passed away 69 months after diagnosis.ConclusionThere are no effective systemic treatments for solitary fibrous tumors, which can lead to poor outcomes. Individualized treatment approaches are necessary.
Document Type: Article
Other literature type
Language: English
ISSN: 2577-171X
DOI: 10.1002/iju5.70013
Access URL: https://pubmed.ncbi.nlm.nih.gov/40336741
https://doaj.org/article/8c0243576fcd4c5297c332ee317f3308
Rights: CC BY
Accession Number: edsair.doi.dedup.....f1ebc3d6dceba87d84ec7062325e8c04
Database: OpenAIRE
Description
Abstract:IntroductionSolitary fibrous tumors originating in the bladder are extremely rare. While generally associated with favorable outcomes, some show invasive behavior. We report a case of a solitary fibrous tumor originating in the bladder that was treated with multimodal therapy.Case PresentationA 68‐year‐old male presented with urinary retention. Imaging revealed a well‐defined 6.0 cm mass compressing the prostate. A biopsy suggested stromal sarcoma. Robot‐assisted cystoprostatectomy was performed. Pathological examination revealed a solitary fibrous tumor originating from the bladder invading the prostate. Despite negative margins, lung nodules and a pelvic mass appeared 43 months postoperatively. Initially, these were treated with pazopanib, followed by doxorubicin and eribulin due to disease progression. The patient eventually transitioned to palliative care and passed away 69 months after diagnosis.ConclusionThere are no effective systemic treatments for solitary fibrous tumors, which can lead to poor outcomes. Individualized treatment approaches are necessary.
ISSN:2577171X
DOI:10.1002/iju5.70013