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  1. Noor Liza Ishak, Primuharsa Putra Sabir Athar Husin, Suria Hayati Md Pauzi, Isa Mohd Rose, Mohd Razif Mohamad Yunus
    MyJurnal
    Solitary fibrous tumours of the head and neck region are
    extremely rare. The clinical diagnosis is often difficult to
    establish, and this lesion may be indistinguishable from other
    soft tissue neoplasms. An 18-year old Chinese gentleman
    presented with a painless right submandibular swelling which
    was increasing in size for eight months. A computed
    tomography scan showed a well-defined solid mass measuring
    about 2.0 x 2.96 cm in the submandibular region. The tumour
    was resected and was confined within its capsule.
    Immunohistochemical staining was strongly positive for CD34,
    CD 99, and vimentin and negative for desmin, smooth muscle
    actin (SMA), cytokeratin, S100 and CD68. The microscopic and
    immunohistochemical profile were compatible with solitary
    fibrous tumour. Distinguishing solitary fibrous tumours from
    various spindle neoplasms can be difficult. In view of the
    resemblance, immunohistochemical staining can help
    differentiate solitary fibrous tumour from spindle neoplasm.
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