A rare case of spindle cell tumour of mesentery
DOI:
https://doi.org/10.18203/2349-2902.isj20212741Keywords:
Spindle cell tumor, Mesentery, QuadracolectomyAbstract
We herein reported a rare case of a patient who developed a spindle cell tumor of the mesentery. A 45 years old female with a previous history of hysterectomy presented with pain in the abdomen for two weeks. CT scan was suggestive of a well-defined solid, enhancing lesion in the right pelvic region and iliac fossa measuring 10.9×13.9×15.1 cm, abutting right ovary, ileocaecal junction, caecum, appendix and rectosigmoid junction (possible differentials) are right ovarian neoplastic lesion or desmoid tumor. The patient was planned for surgery underwent laparotomy, where the mass appeared to originate from the mesentery (15×12) in dimensions and was adherent to distal ileum and caecum. The mass was inseparable, hence, the right quadra colectomy was taken and the whole mass with distal ileum and caecum and right colon was excised and ileocolic anastomosis was done. The tumor was histologically diagnosed as a spindle cell tumor. Follow up of the patient had been uneventful.
References
Middleton SB, Frayling IM, Phillips RK. Desmoids in familial adenomatous polyposis are monoclonal proliferations. Br J Cancer. 2000;82(4):827-32.
Weiss S, Goldblum JR. Enzinger and Weiss’s soft tissue tumors, 4th ed. St. Louis: Mosby; 2001: 309-46.
Klemperer P, Robin CB. Primary neoplasms of the pleura. Am J Ind Med. 1992;22(1):1-31.
Goodlad J, Fletcher C. Solitary fibrous tumor arising at unusual sites: analysis of a series. Histopathology. 1991;19(6):515-22.
Zhang WD, Chen JY, Cao Y, Liu Q, Luo R. Computed tomography and magnetic resonance imaging findings of solitary fibrous tumors in the pelvis: correlation with histopathological findings. Eur J Radiol. 2011;78(1):65-70.
Monica P, Noriko K, Hideo Y, Akio O, Kyoji Y. Case report: fibromatosis of the mesoappendix. Pathol Int. 2000;50(6):505-8.
Wang H, Shen D, Hou Y. Malignant solitary tumor in a child: a case report and literature review. J Pediatr Surg. 2011;46(3):5-9.
Smith AJ, Lewis JJ, Merchant NB, Leung DHY, Woodruff JM, Brennan MF. Surgical management of intra-abdominal desmoid tumours. Br J Surg. 2000;87(5):608-13.
Hardisson D, Limeres MA, Jimenez-Heffernan JA, DeRosa P, Burgos E. Solitary fibrous tumor of the mesentery. Am J Gastroenterol. 1996;91(4):810-1.
Balaji R, Ramachandran K, Somanathan T. A rare case of solitary fibrous tumour of the sigmoid mesocolon: imaging features and review of literature. Cancer Imaging. 2009;9(1):67-9.
Lau MI, Foo FJ, Sissons MC, Kiruparan P. Solitary fibrous tumor of small bowel mesentery: a case report and review of the literature. Tumori. 2010;96(6):1035-9.
Muroni M, Mezzetti G, Noto S. Malignant solitary fibrous tumor originating from the mesentery. Gastroenterology. 2012;142(1):12-3.
Bouhabel S, Leblanc G, Ferreira J, Leclerc YE, Dubé P, Sidéris L. Solitary fibrous tumor arising in the mesentery: a case report. World J Surg Oncol. 2011;9:140.
Kudva R, Monappa V, Rao A. Giant solitary fibrous tumor of the mesentery: a rare case. J Cancer Res Ther. 2011;7(3):376-8.
Cantarella F, Graziosi L, Cavazzoni E, Donini A. Small bowel mesentery solitary fibrous tumor. A rare neoplasia in a young male. G Chir. 2012;33(8-9):271-3.
Nishikawa T, Takei Y, Teshima S, Deie K, Takano Y, Tsuno NH, et al. A hypervascular malignant solitary fibrous tumor in the mesentery of the rectum with good response to preoperative radiation therapy. Int Canc Conf J. 2013;2:30-5.
Liu Y, Ishibashi H, Sako S, Takeshita K, Li Y, Elnemr A, et al. A giant mesentery malignant solitary fibrous tumor recurring as dedifferentiated liposarcoma: a report of a very rare case and literature review. Gan To Kagaku Ryoho. 2013;40(12):2466-9.
Gengler C, Guillou L. Solitary fibrous tumor and haemangiopericytoma: evolution of a concept. Histopathology. 2006;48(1):63-74.
Ma L, Wang L, Fang X, Zhao C, Sun L. Diagnosis and treatment of solitary fibrous tumor/hemangiopericytoma of the central nervous system. Retrospective report of 17 patients and literature review. Neuro Endocrinol Lett. 2018;39(2):88-94.
Haas RL, Walraven I, Lecointe-Artzner E, Scholten AN, Houdt WJV, Griffin AM, et al. Radiation therapy as sole management for solitary fibrous tumors (SFT): a retrospective study from the Global SFT Initiative in collaboration with the Sarcoma Patients EuroNet. Int J Radiat Oncol Biol Phys. 2018;101(5):1226-33.
