横结肠低级别纤维黏液样肉瘤1例

Pathogenesis Pub Date : 2014-01-01 DOI:10.1016/j.pathog.2014.07.001

I.S. Farrell , K. Brelsford , W. Salman , C.J. Smart

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引用次数: 1

摘要

一位52岁的女性，以非特异性腹部症状和月经过多表现。超声扫描显示偶然发现一大块软组织肿块。CT扫描显示一个15厘米× 10厘米× 7厘米的多分叶状肿块。通过结肠次全切除术切除。据报道，最初的组织学诊断为胃肠道间质瘤(GIST)，但进一步的特征显示这是一种低级别纤维黏液样肉瘤。这是第二例低级别结肠纤维黏液样肉瘤的病例，如果样本没有送到地区专家中心接受第二意见，可能会被遗漏。

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Low-grade fibromyxoid sarcoma of the transverse colon: A case report

A 52 year old lady presented with non-specific abdominal symptoms and menorrhagia. Ultrasound scan revealed an incidental finding of a large soft tissue mass. This was further characterised with a CT scan which revealed a 15 cm × 10 cm × 7 cm multilobulated mass. This was removed via a subtotal colectomy. Initial histology was reported as a most likely diagnosis of gastro-intestinal stromal tumour (GIST) but further characterisation revealed this to be a low-grade fibromyxoid sarcoma.

This is only the second reported case of low-grade fibromyxoid sarcoma of the colon and would potentially have been missed had not the sample been sent for second opinion at a regional specialist centre.

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Pathogenesis

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