Abstract
A 55-year-old man was incidentally found to have an abdominal tumor by CT scan conducted when he got a bruise on the chest. Contrast-enhanced CT scan revealed a 4-cm diameter segmented tumor in the right upper quadrant of abdomen which was strongly enhanced in the early phase. Carcinoid, Castleman disease, or paraganglioma was likely. Laparoscopic surgery was performed for diagnosis and treatment. The tumor was located in the falciform ligament of the liver and had not invaded the surrounding organs. The resected specimen included a whitish, solid, multinodular tumor 4 cm in diameter. The histopathological diagnosis was solitary fibrous tumor (SFT). Nuclear atypia and mitotic figure were not prominent and no necrosis and hemorrhage were seen. The patient has been alive without having recurrence, as of one year after the operation.
Although SFTs have been reported to arise in the pleural cavity in many cases, they can affect the whole body. Recently we sometimes encounter reports on laparoscopically resected SFTs arisen in the abdominal cavity. We preset this case of SFT arisen in the salciform ligament of the liver, together with a review of the literature.
