Open AccessUtility of a multidisciplinary team approach with transanal total mesorectal excision for resection of a large pelvic solitary fibrous tumor
Author(s) -
Tanabe Kenji,
Nakanishi Yasukazu,
Matsumoto Shunya,
Yajima Shugo,
Kuroe Takashi,
Watanabe Reiko,
Arai Yasunori,
Iwata Shintaro,
Ito Masaaki,
Masuda Hitoshi
Publication year - 2022
Publication title -
iju case reports
Language(s) - English
Resource type - Journals
ISSN - 2577-171X
DOI - 10.1002/iju5.12405
Subject(s) - medicine , total mesorectal excision , pelvis , surgery , resection , solitary fibrous tumor , colorectal cancer , cancer , biology , cd34 , genetics , stem cell
Solitary fibrous tumors require complete surgical resection to avoid recurrence. Large solitary fibrous pelvic tumors are difficult to resect completely with conventional surgical methods. We herein report a case in which a joint surgical approach was required for resection due to the location and size of tumor. Case presentation A 45‐year‐old man had a large solitary fibrous tumor in the pelvis, which extended into the left obturator foramen. The patient underwent tumor resection with vesico‐prostatectomy, transanal total mesorectal excision, and opening of the foramen obturatum. The tumor was grossly resected completely. No recurrence was noted nine months after surgery. Conclusion A multidisciplinary team approach with transanal total mesorectal excision may provide complete resect of large pelvic solitary fibrous tumors.