We report a solitary fibrous tumor (SFT) of the leg that presented as
a pedunculated encapsulated soft tissue mass attached to the periosteu
m of the posterior tibia. To our knowledge this is the first reported
case of an SFT in an extremity. In addition to having the typical gros
s and microscopic appearance of a usual SFT, this SFT also contained a
bundant elastic tissue, suggesting an origin from periosteal fibroblas
ts. This report further extends the anatomic range of the SFT, a neopl
asm once thought to be of mesothelial origin but now recognized as a m
esenchymal tumor of probable fibroblastic lineage. To date the behavio
r of the this periosteal SFT has been benign. HUM PATHOL 26:460-462. C
opyright (C) 1995 by W.B. Saunders Company