Solid fibrous tumor of the liver: a case in pregnancy

Abstract

Background: Solid fibrous tumor (SFT) is a rare neoplasm, preferentially involving the pleura, rarely the liver. Case: A primigravida between 13–15 weeks gestation developed nausea, vomiting, and abdominal pain. Imaging revealed a large, complex septated mass filling the abdomen and pelvis. At surgery a firm, lobular mass involved in the inferior aspect of the right liver lobe. Open cholecystectomy and hepatic segmentectomy were performed; confirmatory immunohistochemical staining was positive for SFT. Conclusion: A rapidly growing abdominopelvic mass during pregnancy may be a SFT. The diagnosis and perioperative management of SFT presents multiple challenges to the obstetrician.

Keywords::

• abdominal mass
• pregnancy
• solid fibrous tumor

Acknowledgement

Presented at the ACOG Annual Clinical Meeting May 2010 as a “Stump the Professor” Case Presentation.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.