Management of a Multiple Recurrent Solitary Fibrous Tumor of the Orbit

Abstract

Solitary fibrous tumors (SFT) are rare entities that can arise from almost any tissue. The treatment of choice is always complete surgical resection, which may require major reconstructions. We report a case of a 49 year old man with a recurrent SFT of the orbit and anterior skull base, who underwent eight surgical procedures. A craniofacial resection was successfully performed. The reconstruction was made with an anterolateral thigh flap, and a titanium mesh. Management of these tumors is always challenging. They must be approached by a specialized multidisciplinary team, with adequate preoperative planning