Abstract：
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, radiological, 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 underwent 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.
摘要：
这项研究的目的是更好地表征头颈部孤立性纤维瘤（SFT）并评估手术治疗。这项回顾性研究包括患有头颈部SFT的患者。临床,放射学,收集有关所进行治疗的组织学信息和数据。计算局部和远处转移的风险，对于轨道SFT，使用了特定的分类。总的来说,包括34例患者。大多数SFT在口腔中发现（n=10），其次是颈部区域（n=8）。平均复发时间为67.4个月。所有患者均接受一期手术切除。在5例局部复发和远处转移风险较低的患者中观察到复发。选择的治疗方法是完全切除。复发似乎与手术切缘阳性高度相关。切除病灶时应增加安全裕度,应进行长期随访。
