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Peer-reviewedCC BY-NCJournal of surgical case reports

Esophageal pendulum: a rare case report of a giant solitary fibrous tumor of the esophagus.

  • Manar Asad Khan1
  • Afzal Anees1
  • Meraj Ahmed1
  • Hazique Jameel1
  1. 1Department of Surgery, Jawaharlal Nehru Medical College, AMU, Aligarh, India.
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Abstract

Solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm, accounting for <2% of soft-tissue tumors. Initially described in the pleura, it can arise at various extra pleural sites. Identification of the NAB2-STAT6 fusion gene has improved diagnostic accuracy. Complete surgical excision remains the treatment of choice. A 21-year-old female presented with progressive dysphagia and refractory anemia for six months. Imaging revealed a well-circumscribed intraluminal esophageal mass extending from the cervical to mid-thoracic esophagus and prolapsing into the stomach. The tumor was excised via an open left cervical approach with transgastric extraction. Histology showed spindle cells with CD34 and SMA positivity and nuclear STAT6 positivity, confirming SFT. Recovery was uneventful with no recurrence on follow-up, highlighting the importance of complete excision and immunohistochemical evaluation.

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Cite

BibTeXRIS
BibTeX
@article{khan2026esophageal,
  title = {{Esophageal pendulum: a rare case report of a giant solitary fibrous tumor of the esophagus.}},
  author = {Manar Asad Khan and Afzal Anees and Meraj Ahmed and Hazique Jameel},
  journal = {Journal of surgical case reports},
  year = {2026},
  month = oct,
  doi = {10.1093/jscr/rjag673},
  url = {https://europepmc.org/article/MED/42948337},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Esophageal pendulum: a rare case report of a giant solitary fibrous tumor of the esophagus.
AU  - Manar Asad Khan
AU  - Afzal Anees
AU  - Meraj Ahmed
AU  - Hazique Jameel
PY  - 2026
DA  - 2026/10/27
JO  - Journal of surgical case reports
DO  - 10.1093/jscr/rjag673
UR  - https://europepmc.org/article/MED/42948337
AB  - Solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm, accounting for <2% of soft-tissue tumors. Initially described in the pleura, it can arise at various extra pleural sites. Identification of the NAB2-STAT6 fusion gene has improved diagnostic accuracy. Complete surgical excision remains the treatment of choice. A 21-year-old female presented with progressive dysphagia and refractory anemia for six months. Imaging revealed a well-circumscribed intraluminal esophageal mass extending from the cervical to mid-thoracic esophagus and prolapsing into the stomach. The tumor was excised via an open left cervical approach with transgastric extraction. Histology showed spindle cells with CD34 and SMA positivity and nuclear STAT6 positivity, confirming SFT. Recovery was uneventful with no recurrence on follow-up, highlighting the importance of complete excision and immunohistochemical evaluation.
SN  - 2042-8812
ER  -