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

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, radio-logical, 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 un-derwent 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.& COPY; 2023 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Automated summary

The aim of this retrospective study was to better characterize and evaluate the surgical treatment of head and neck solitary fibrous tumors (SFTs). A total of 34 patients with SFTs were included, predominantly located in the oral cavity and neck region. Complete resection was the treatment of choice, with recurrence being highly correlated with positive surgical margins. Long-term follow-up is recommended.