# High-cervical solitary fibrous tumour—a case report, and mini-bibliometric analysis

## TL;DR

A rare case of a cervical spine tumor is reported, highlighting the challenges in diagnosing and managing solitary fibrous tumors.

## Contribution

This case report adds to the limited literature on high-cervical solitary fibrous tumors and emphasizes the need for standardized treatment protocols.

## Key findings

- The patient had a World Health Organization Grade I solitary fibrous tumor with a Ki-67 of 6%.
- Follow-up MRI showed gross total resection with a small residual lesion.
- There is no consensus on optimal management or follow-up for these rare tumors.

## Abstract

We present a case report of a 53-year-old left-handed gentleman who presented with 8 months of right-sided neck pain and radiating arm pain. MRI spine showed suspicion of an intradural, extramedullary lesion initially thought to be a schwannoma. Single-level laminectomy and resection was carried out and noticeable residuum cauterized. Histopathology showed World Health Organization Grade I solitary fibrous tumour (SFT) with Ki-67 of 6%. No major complications post-operatively. Follow-up MRI spine showed gross total resection in the spinal canal with small residual arising from the nerve root. Solitary fibrous tumour are rare mesenchymal tumour especially in the cervical spine. Higher World Health Organization grade and subtotal resection has been associated with higher recurrence rate and metastases. No high-quality evidence available comparing different standards of treatment and follow-up protocol/treatment. Hence, no consensus available with regards to the optimal management, adjuvant therapy, and follow-up protocol. But regular follow-ups recommended especially for higher-grade tumours.