Solitary Fibrous Tumour: An Unusual Nasal Cavity Tumour

Objective: To describe the diagnosis and management of an unusual case of solitary fibrous tumor of nasal cavity. Methods: The case records of a patient with solitary fibrous tumor of nasal cavity were reviewed. Results: This patient presented with constant nasal obstruction of one and a half years duration. Nasal endoscopy revealed a firm polypoidal mass filling the left nasal cavity medial to middle turbinate. After imaging, she underwent endoscopic excision of the mass which on histopathological examination was diagnosed as solitary fibrous tumor. At follow up after one year, there was no recurrence of tumour. Conclusion: Solitary fibrous tumours are infrequent neoplasms of mesenchymal origin presenting as a well circumscribed, avidly enhancing mass that is iso- to hyperintense on T1W and T2W MRI images. Even though most SFTs are benign, some of these tumors can be locally invasive and have the potential to be malignant. Surgical excision with long term follow up is the treatment of choice.