@article{oai:shiga-med.repo.nii.ac.jp:00003839, author = {高橋, 顕雅 and 西村, 宙起 and 天野, 創 and 出口, 真理 and 吉野, 芙美 and 賀勢, 諒 and 木村, 文則 and 森谷, 鈴子 and 村上, 節 and Takahashi, Akimasa and NISHIMURA, Hiroki and AMANO, Tsukuru and DEGUCHI, Mari and YOSHINO, Fumi and KASEI, Ryo and KIMURA, Fuminori and MORITANI, Suzuko and MURAKAMI, Takashi}, issue = {1}, journal = {World Journal of Surgical Oncology}, month = {Mar}, note = {pdf, Background: Solitary fibrous tumours (SFTs) in the female genital tract are uncommon. Resection of these tumours is controversial because it can cause life-threatening haemorrhage. We report a case of vulvar SFT that was excised in a combined abdominal-sacral approach after preoperative embolisation., Case presentation: At another hospital, an inoperable intrapelvic tumour was diagnosed in a 34-year-old woman. Computed tomography and magnetic resonance imaging showed that the uterus, urinary bladder and rectum were compressed laterally by a pelvic tumour with a maximum diameter of 11 cm. This mass was hypervascular and had a well-defined border. Transperineal biopsy was performed, and immunostaining revealed that the mass was an SFT. The tumour was supplied by feeding vessels from the right iliac arteries. First, we embolised the feeding vessels. Second, we performed surgical resection in a combined abdominal-sacral approach; no blood transfusion was necessary, and no perioperative complications occurred. The final pathological diagnosis was SFT that was positive for CD34 and signal transducer and activator of transcription 6 according to immunohistochemical staining., Conclusion: During a year of follow-up, the disease did not recur. Treatment of pelvic SFT should aim at complete resection through various approaches after careful measures are taken to prevent haemorrhage., Journal Article}, title = {An abdominal-sacral approach with preoperative embolisation for vulvar solitary fibrous tumour : a case report.}, volume = {19}, year = {2021} }