A giant solitary fibrous tumor of the mesentery: a case report and literature review

Nishida, Kensei; Ubukata, Hideyuki; Konishi, Satoru; Shimazaki, Jun; Yano, Yoshihiro; Morishita, Yukio; Tabuchi, Takafumi

doi:10.1186/s12957-014-0422-4

Cited by 13 publications

(11 citation statements)

References 17 publications

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“…A recent retrospective series demonstrated that 34% of all SFT occur in the abdominopelvic region and that the abdominopelvic cavity is a major primary site for SFT . However, a SFT that arises from the mesentery is unusual, and a SFT from the mesorectum is rarer still—we found only five reports describing such SFT .…”

Section: Discussionmentioning

confidence: 72%

Successful laparoscopic treatment of a giant solitary fibrous tumor of the mesorectum: A case report and literature review

Kawamura

Tani

Kida

et al. 2016

Asian J Endoscop Surgery

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A solitary fibrous tumor is a ubiquitous mesenchymal fibroblastic tumor that was previously considered limited to the pleural cavity. Here, we report a rare case of a large solitary fibrous tumor of the mesorectum, which was successfully resected laparoscopically. A 56-year-old woman was referred to our hospital for a giant pelvic mass. Pelvic MRI showed a well-circumscribed mass, 12 cm in diameter, with heterogeneous signal intensity on T -weighted images. It was diagnosed as a benign mesorectal tumor of unknown origin. We successfully resected the entire tumor laparoscopically. Histological examination revealed it to be an extrapleural solitary fibrous tumor. For large tumors in the pelvis, the laparoscopic approach is preferable in terms of intraoperative hemorrhage, as long as they do not invade surrounding tissues.

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Section: Discussionmentioning

confidence: 72%

Successful laparoscopic treatment of a giant solitary fibrous tumor of the mesorectum: A case report and literature review

Kawamura

Tani

Kida

et al. 2016

Asian J Endoscop Surgery

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“…In this report, we present an exceedingly rare form of SFT arising from the mesentery, with only 15 cases reported in the literature 3 8 9 12–18. Not infrequently, imaging studies will suggest other entities such as GIST, but histopathology with immunohistochemistry remain the basis of diagnosis 16.…”

Section: Discussionmentioning

confidence: 91%

Solitary fibrous tumour of the sigmoid colon mesentery

Mekel¹,

Balshan

Traupman

2019

BMJ Case Rep

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Solitary fibrous tumours (SFTs) are rare tumours arising from mesenchymal tissues. Despite of their more frequent occurrence in the pleura, SFT can present anywhere in the body. Only a few cases have been described arising from the mesentery. Most tumours have a benign nature; however, up to 20% of them can spread, most commonly to liver, lung and bone. Surgical excision including all surrounding tissues remains the treatment of choice; however, there is no consensus regarding the need for adjuvant therapies. We present a 79-year-old man with abdominal pain who was found to have a SFT in the mesentery of the sigmoid colon, treated with en bloc resection. A multidisciplinary team including surgeons, medical and radiation oncologists is recommended in the care of these patients.

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“…1,9 Recently, eleven cases of SFTs in the small bowel mesentery have been reported in the literature. 2,[10][11][12][13][14] However, the presence of SFT within the wall of the small bowel has been reported only on one occasion: in 2013 by Yong-Qiao Liu and Jun-Qiu Yue. 7 They reported the tumor to be incidentally noted in a 26 year old female during cesarean section.…”

Section: Discussionmentioning

confidence: 99%

Coexistence of Solitary Fibrous Tumor in the Small Bowel Wall with Mesentery Neuroendocrine Tumor: A First Case Report

Salazar¹,

Serei²,

Grandhi³

et al. 2021

PLMI

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Background: Solitary fibrous tumor (SFT) of the small bowel wall is a rare occurrence with only one case reported to date. SFT in the small bowel wall adjacent to mesenteric neuroendocrine tumor has not been reported, to the best of our knowledge, in the English literature. Case Presentation: The patient is an 82-year old male with a right perinephric mass incidentally diagnosed during a bladder ultrasound for working-up of chronic urinary tract infections. A follow-up CT of the abdomen and pelvis demonstrated a mass located to the right of the pancreatic head and anterior to the duodenum. A subsequent endoscopic ultrasound (EUS) with fine needle biopsy of the mass diagnosed a low-grade neuroendocrine tumor, which was supported by positivity for CD56, synaptophysin, and chromogranin. An exploratory laparotomy was performed, and the mesenteric mass was identified near the root of the middle colic vessels and laying on top of the duodenum and pancreatic head. A right hemicolectomy with terminal ileum resection was performed en bloc with resection of the mesenteric mass, presumed to be a large lymph node metastasis. A small white-tan, firm nodule was located within the small bowel submucosa and identified, measuring 0.6 x 0.4 x 0.3 cm. The mesenteric mass measured 5.5 x 3.5 x 3.3 cm and was in the mesenteric drainage distribution of the small bowel. The mesentery tumor cells were positive for synaptophysin and chromogranin, which supported the diagnosis of neuroendocrine tumor. The small submucosal nodule cells were positive for STAT6, CD34 and CD99, and focally positive for BCL-2, which confirmed the diagnosis of SFT of the small bowel. Conclusion: We report the first case of SFT within the small bowel submucosa coexisting with a large neuroendocrine tumor within the mesentery.

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A giant solitary fibrous tumor of the mesentery: a case report and literature review

Cited by 13 publications

References 17 publications

Successful laparoscopic treatment of a giant solitary fibrous tumor of the mesorectum: A case report and literature review

Successful laparoscopic treatment of a giant solitary fibrous tumor of the mesorectum: A case report and literature review

Solitary fibrous tumour of the sigmoid colon mesentery

Coexistence of Solitary Fibrous Tumor in the Small Bowel Wall with Mesentery Neuroendocrine Tumor: A First Case Report

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